NPI | 1083779821 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT A DUKE Chief Administrative Officer 605-884-4256 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
2085N0904X Radiology Nuclear Radiology | |
213E00000X Podiatrist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-12-22 |
Last Update Date | 2023-02-20 |