| NPI | 1033121355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TRUCANO HAMMERBECK Chief Executive Officer 605-342-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2022-07-14 |