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30 7th St W Dickinson ND 58601-4335 | |
| (701) 456-4308 | |
| (701) 456-4804 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 30 7th St W, Dickinson, North Dakota |
| Authorized Official Name and Position | April Bishop (INTERIM CEO) |
| Authorized Official Contact | 7014564000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
30 7th St W Dickinson ND 58601-4335 Ph: (701) 456-4308 | 30 7th St W Dickinson ND 58601-4335 Ph: (701) 456-4308 |
| NPI Number | 1053334847 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053334847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5054A (North Dakota) | Primary |
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