| NPI | 1740671387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL TRUE Physician 563-940-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IA 34772) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |