| NPI | 1386674786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY A. MALCOM Administrator 712-322-4136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IA 9701) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-10-06 |