| NPI | 1942236096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORY PAYNE Executive Director 605-782-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-09-04 |