NPI | 1932183308 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER T DIETRICH President Of Corporation 605-721-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SD 5300141945007EUF001) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: SD 5300141945007EUT001) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2013-09-26 |