| NPI | 1477523678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARRIS Admin Asst 605-341-1414 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: SD 0080) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2023-01-17 |