| Professional Medical Consultants Pc | |
|
550 N 5th St Suite 110 Rapid City SD 57701-1375 | |
| (605) 737-7777 | |
| (605) 737-7778 |
| Full Name | Professional Medical Consultants Pc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 550 N 5th St, Rapid City, South Dakota |
| Authorized Official Name and Position | Maureen Erin Stephenson (PRESIDENT) |
| Authorized Official Contact | 6057377777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Medical Consultants Pc Po Box 2652 Rapid City SD 57709-2652 Ph: (605) 737-7777 | Professional Medical Consultants Pc 550 N 5th St Suite 110 Rapid City SD 57701-1375 Ph: (605) 737-7777 |
| NPI Number | 1912024001 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 01/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912024001 | NPI | - | NPPES |
| 0453 | Other | SD | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 4785 (South Dakota) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 4786 (South Dakota) | Primary |
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