| NPI | 1548630643 |
|---|---|
| Doing Business As | BIG THUNDER LOUD RIVER MEDICINE, INC. |
| Entity Type | Organization |
| Authorized Contact | STEVEN ALOYSIUS MILES CEO 424-363-9221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA G48908) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2023-03-31 |