| NPI | 1851564157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER C. HOLMES LATTERELL Executive Director 319-297-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 22013) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2015-05-18 |