| NPI | 1679095319 |
|---|---|
| Doing Business As | BIG THUNDER LOUD RIVER, INC. |
| Entity Type | Organization |
| Authorized Contact | STEVEN ALOYSIUS MILES CEO 424-363-9221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0000X Internal Medicine, Hematology (Licence: CA G48908) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-11-09 |