| NPI | 1942276621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PATRICK MAGALLANES CEO 319-338-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-02-09 |