Missouri Breaks Medical
NPI #1235329053 in Timber Lake, South Dakota
Provider Information
- NPI Number
- 1235329053
- Entity Type
- Organization
- Organization Name
- Missouri Breaks Medical
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 27, 2007
- Last Updated
- Oct 28, 2010
Practice Location
- Address
- HC 64 BOX 52
- City
- Timber Lake
- State
- South Dakota
- ZIP Code
- 57656-9740
- Phone
- (605) 964-3418
Authorized Official
- Name
- MR. TIMOTHY J O'LEARY
- Title
- OWNER
- Phone
- (605) 964-3418
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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