| NPI | 1811941172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QA1903X Clinic/Center Ambulatory Surgical | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2025-06-16 |