NPI | 1902385693 |
---|---|
Doing Business As | GOOD SAMARITAN SOCIETY -DEUEL COUNTY |
Entity Type | Organization |
Authorized Contact | GEORGE GRANT TRIBBLE Executive VP 605-362-3900 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2018-08-13 |
Last Update Date | 2018-08-13 |