| NPI | 1194898296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY RANKIN Office Manager 712-325-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2014-09-25 |