| NPI | 1881604320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUENTIN J DURWARD Owner/Board Of Director 605-217-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SD 0369) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: SD 0369) |
| 207T00000X Neurological Surgery (Licence: SD 0369) | |
| 208200000X Plastic Surgery (Licence: SD 0369) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SD 0369) | |
| 213E00000X Podiatrist (Licence: SD 0369) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SD 0369) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-03-26 |