| NPI | 1356369995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K KIDMAN Executive Director 605-339-3378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 1799) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-03-17 |