| NPI | 1801812318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDI DIXON Clinic Manager 605-996-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SD 0334) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |