| NPI | 1952288326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JOYCE Owner 712-490-4031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |