NPI | 1609965961 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL J HURLEY Administrator 605-339-6525 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SD 53025) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2011-02-22 |