| NPI | 1750528204 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RICHARD WILLIAMS Chief Of Department 319-356-0760  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA a1208101)  | 
| Enumeration Date | 2009-01-20 | 
| Last Update Date | 2009-01-20 |