NPI | 1902084619 |
---|---|
Doing Business As | DIAMOND FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | KENNETH C DIAMOND President 605-716-6656 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 4008) |
Enumeration Date | 2008-02-05 |
Last Update Date | 2011-04-13 |