| NPI | 1558494138 |
|---|---|
| Doing Business As | MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL RICHTER CFO 712-722-8153 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-04-20 |