| NPI | 1902865082 |
|---|---|
| Doing Business As | GREAT RIVER SURGEONS |
| Entity Type | Organization |
| Authorized Contact | LYNETTE COLLIER Exec Director 319-768-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA 21014) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-12-17 |