| NPI | 1942209309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL D RAMOS President 605-583-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 1052) |
| Additional Taxonomies | 208600000X Surgery (Licence: SD 1052) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2025-09-11 |