NPI | 1952325227 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL LOUIS WRIGHT Medical Director 605-718-5123 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: SD 11142) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2015-06-16 |