| NPI | 1972384519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHARLES JACOBSON President 515-440-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2086S0105X Surgery Surgery of the Hand | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |