Organization Name: | MERCY MEDICAL SERVICES |
NPI Number: | 1376702217 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN K. MONSMA (NETWORK EXECUTIVE DIRECTOR) |
Mailing Address: | 330 Dakota Dunes Blvd Suite 200 Dakota Dunes |
State: | SD US |
Postal Code: | 570495461 |
Phone Number: | 6052326200 |
Fax Number: | 6052320004 |
NPI Enumeration Date: | 06/05/2008 |
NPI Last Update Date: | 02/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085U0001X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Ultrasound |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |