| NPI | 1932432457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHARLES JACOBSON Shareholder 515-440-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IA 26239) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IA 19337) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IA 33389) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IA 27587) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: IA 37744) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IA 00693) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2013-01-22 |