| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 100 Mac Ln, Pierre, South Dakota |
| Authorized Official Name and Position | Julie N Norton (VP FINANCE) |
| Authorized Official Contact | 6053226375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 Mac Ln Pierre SD 57501-3391 Ph: () - | 100 Mac Ln Pierre SD 57501-3391 Ph: (605) 224-5901 |
| NPI Number | 1780829283 |
|---|---|
| Provider Enumeration Date | 12/11/2008 |
| Last Update Date | 03/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780829283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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