| NPI | 1871776070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VICTOR ROSS Administrator Practice Manager 515-221-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: IA 1759) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2018-11-07 |