| NPI | 1669692380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L GARRED President 712-455-2431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-05-21 |