| NPI | 1083755821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE A SOUTHARD Ofc Mgr Assistant Sec Treas 712-366-5709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |