| NPI | 1932346079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RENEE BUCKLIN Clinic Adminstrator 515-270-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN193) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |