NPI | 1194865394 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD LLYOD LARSON Business Administrator 605-338-8811 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2007-02-07 |
Last Update Date | 2007-10-25 |