| NPI | 1982878047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED C MARSH Owner 515-963-1827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IA 24273) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |