NPI | 1891027603 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA LYNN JONES Owner/Physician 563-359-9409 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: IA 26115) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2025-03-16 |