| NPI | 1326187477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD LLOYD LARSON Business Administrator 605-731-7522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-10-25 |