| NPI | 1306920319 |
|---|---|
| Doing Business As | PRAIRIE PEDIATRICS & ADOLESCENT CLINIC, PC |
| Entity Type | Organization |
| Authorized Contact | MELANIE OLSEN Business Manager 712-255-8901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-01-27 |