| NPI | 1942631163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MATHEW WINCHESTER Owner/Doctor 641-420-9478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IA 007639) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |