| NPI | 1912024001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN ERIN STEPHENSON President 605-737-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: SD 4786) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: SD 4785) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-01-04 |