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 |