| NPI | 1548947542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALAN MASER Vice President, Medical Affairs 605-755-6142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |