Foothills Family Clinic

NPI 1730275165 - Family Medicine - 207Q00000X

NPI Details
NPI 1730275165
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PATRICIA J PATRICIA
Position OWNER
Phone (605) 718-7625
Fax (605) 718-7627
Practice Location
8075 STAGESTOP RD
BLACK HAWK SD, 57718, US
Phone (605) 718-7625
Fax (605) 718-7627
Business Location
PO BOX 418
BLACK HAWK SD, 57718, US
Phone (605) 718-7625
Fax (605) 718-7627
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Foothills Family Clinic NPI is 1730275165, taxonomy code is 207Q00000X Foothills Family Clinic physically located at 8075 Stagestop Rd, Black Hawk SD, 57718. NPI Number 1033115704 has the healthcare provider type.

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1730275165 NPI number is provided on an as is basis without warranty of any kind. 1730275165 is maintained by the National Plan & Provider Enumeration System. The contents of Foothills Family Clinic are for informational purposes only.