Patricia Stephenson | |
8075 Stagestop Rd Black Hawk SD 57718 | |
(605) 718-7625 | |
(605) 718-7627 |
Full Name | Patricia Stephenson |
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Speciality | Family Medicine |
Location | 8075 Stagestop Rd, Black Hawk, South Dakota |
Authorized Official Name and Position | Patricia J Stephenson (OWNER) |
Authorized Official Contact | 6057187625 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Patricia Stephenson Po Box 418 Black Hawk SD 57718 Ph: (605) 718-7625 | Patricia Stephenson 8075 Stagestop Rd Black Hawk SD 57718 Ph: (605) 718-7625 |
NPI Number | 1730275165 |
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Provider Enumeration Date | 10/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730275165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |