| NPI | 1699968057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2083S0010X Preventive Medicine Sports Medicine |
| 207QS0010X Family Medicine Sports Medicine | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2025-01-24 |