| NPI | 1629044029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY FARROW CEO 507-389-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 213E00000X Podiatrist | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2016-11-30 |