NPI | 1952591000 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD VERN PETERSON President 605-745-5102 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SD 0177) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2007-07-25 |
Last Update Date | 2008-05-27 |