| NPI | 1043699960 |
|---|---|
| Doing Business As | FAMILY MEDICINE RESIDENCY CLINIC PART B |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E GIBBS President Rcrh 605-755-8162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |