| NPI | 1811914575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENOLA G PETERS Office Manager 712-252-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IA 34068) |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology (Licence: IA 21969) |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: IA 25530) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: IA 29208) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: IA 27148) | |
| 207RH0003X Internal Medicine Hematology & Oncology (Licence: NE 19310) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-08-17 |