| NPI | 1861406787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODEE M KASPER Office Manager 515-964-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-08-28 |