| NPI | 1790725760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS R CARNEY Chief Financial Officer 515-235-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 01898) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F084106) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2009-09-11 |