NPI | 1881978047 |
---|---|
Doing Business As | EPIC FUNCTIONAL MEDICINE CENTER |
Entity Type | Organization |
Authorized Contact | JASON T BRADLEY Director 319-466-0026 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-10-06 |
Last Update Date | 2019-08-08 |