| NPI | 1720031610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA J MCCOY Credentialing Specialist 605-217-2615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SD 4302) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-11-20 |