| NPI | 1417304924 |
|---|---|
| Doing Business As | WEST RIVER EAR, NOSE, AND THROAT |
| Entity Type | Organization |
| Authorized Contact | JACK KAUP CFO 605-721-4918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SD 9104) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-09-01 |