| NPI | 1962934877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. CLAYTON Office Manager 319-247-3894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: IA 079549) |
| Additional Taxonomies | 132700000X Dietary Manager (Licence: IA 079549) |
| 133V00000X Dietitian, Registered (Licence: IA 079549) | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic (Licence: IA 079549) | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |