| NPI | 1821684192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BRUHL President 515-991-0542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |