Type 2 organization · NPI 1326803222
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251G00000X · JOHNSTON, IA
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 251G00000X | 251G00000X | Primary |
| 163WH1000X | 163WH1000X | Additional |
| 207LH0002X | 207LH0002X | Additional |
| 207PH0002X | 207PH0002X | Additional |
| 207RH0002X | 207RH0002X | Additional |
| 207VH0002X | 207VH0002X | Additional |
| 315D00000X | 315D00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s