Queen City Regional Medical Clinic

NPI 1326224627 - Physician Assistant - 363A00000X

NPI Details
NPI 1326224627
Enumeration Date 01/16/2008
Last Updated 01/16/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LANA LANA
Position ADMINISTRATOR
Phone (605) 642-8414
Fax (605) 642-8618
Practice Location
1420 N. 10TH STREET
SPEARFISH SD, 57783-1532, US
Phone (605) 642-8414
Fax (605) 642-8618
Business Location
1420 N 10TH ST
SPEARFISH SD, 57783-1532, US
Phone (605) 642-8414
Fax (605) 642-8618
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
Remove 1326224627 NPI Number
 

According to our database, Queen City Regional Medical Clinic NPI is 1326224627, taxonomy code is 363A00000X Queen City Regional Medical Clinic physically located at 1420 N. 10th Street, Spearfish SD, 57783-1532. NPI Number 1033115704 has the healthcare provider type.

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1326224627 NPI number is provided on an as is basis without warranty of any kind. 1326224627 is maintained by the National Plan & Provider Enumeration System. The contents of Queen City Regional Medical Clinic are for informational purposes only.