| NPI | 1881656734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALECA BARTLING Billing Manager 319-234-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IA 02547) |
| Additional Taxonomies | 174400000X Specialist (Licence: IA 03011) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2020-08-22 |