NPI | 1689831091 |
---|---|
Other Name | SPEARFISH CLINIC |
Entity Type | Organization |
Authorized Contact | JASON W GORMAN Administrator 605-341-5565 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: SD 0370) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: SD 0370) |
207ND0900X Dermatology, Dermatopathology (Licence: SD 0370) | |
207NP0225X Dermatology, Pediatric Dermatology (Licence: SD 0370) | |
Enumeration Date | 2008-05-22 |
Last Update Date | 2015-01-30 |