| NPI | 1750013793 |
|---|---|
| Doing Business As | WEST RIVER PHYSICIANS ALLIANCE, LLC |
| Entity Type | Organization |
| Authorized Contact | BRADLEY J ARCHER Chief Medical Officer, Cs Executive 605-755-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |