| NPI | 1760782049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUENTIN J DURWARD Owner/Board Of Director 605-217-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2012-03-29 |