NPI | 1184660151 |
---|---|
Entity Type | Organization |
Authorized Contact | AUSTIN J BECK Owner/Provider 605-884-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SD 51560) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2025-07-17 |