| NPI | 1821075599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A CARPINTERO Revenue Cycle Director 319-247-3109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA 00000) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2022-06-02 |