NPI | 1629044029 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY FARROW CEO 507-389-8501 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207N00000X Dermatology |
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 | |
Enumeration Date | 2006-02-24 |
Last Update Date | 2016-11-30 |