NPI | 1508846635 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID L REINKE President 712-324-3298 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IA 25857) |
Additional Taxonomies | 208600000X Surgery (Licence: IA 29665) |
208600000X Surgery (Licence: IA 32663) | |
Enumeration Date | 2006-01-17 |
Last Update Date | 2020-08-22 |