| NPI | 1780615112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 207V00000X Obstetrics & Gynecology | |
| 2085B0100X Radiology Body Imaging | |
| 2085R0202X Radiology Diagnostic Radiology | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-11-27 |