| NPI | 1053300020 |
|---|---|
| Doing Business As | RIDGE FAMILY PRACTICE, PC |
| Entity Type | Organization |
| Authorized Contact | ANGELA L LUND Office Manager 712-322-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2022-02-21 |