| NPI | 1770555971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY F MORAN Doctor Physician 712-252-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: IA 25860) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: NE 19909) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2012-03-08 |