NPI | 1558373845 |
---|---|
Entity Type | Organization |
Authorized Contact | DARREL RIDDLE Chief Executive Officer 605-342-3280 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207N00000X Dermatology |
207RR0500X Internal Medicine, Rheumatology | |
207V00000X Obstetrics & Gynecology | |
213E00000X Podiatrist | |
208600000X Surgery | |
Enumeration Date | 2006-08-13 |
Last Update Date | 2007-11-28 |