| NPI | 1891519955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL W TODD Owner 605-728-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-25 |