| NPI | 1881073005 |
|---|---|
| Doing Business As | MASSA BERRY REGIONAL MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | KYLE L RICHARDS President Rhn 605-755-9070 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-21 |