| NPI | 1093329427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNSEY NIELSEN Office Manager 385-388-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2022-08-08 |