| NPI | 1346389178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA ODAY BODDICKER Office Manager 605-343-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SD 0329) |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2018-02-13 |