| NPI | 1013243633 |
|---|---|
| Doing Business As | BURGESS FAMILY CLINIC - SLOAN |
| Entity Type | Organization |
| Authorized Contact | LYNN R WOLD CEO 712-423-2311 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208D00000X General Practice | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2024-07-09 |