NPI | 1871350868 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN MOSER EISEL Physician Assistant/Owner 563-900-8922 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical |
Enumeration Date | 2024-03-05 |
Last Update Date | 2024-03-05 |