| NPI | 1205011392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI L STUART Billing Manager 712-243-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: IA 30135) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2009-12-22 |