| NPI | 1861973760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK R SCHLEIFFARTH Member Manager 605-791-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: SD 0566) |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2019-02-06 |