Phs Ihs

NPI #1295988327 in Ogema, Minnesota

Provider Information

NPI Number
1295988327
Entity Type
Organization
Organization Name
Phs Ihs
Primary Specialty
Clinic/Center
Enumeration Date
Nov 3, 2008
Last Updated
Nov 3, 2008

Practice Location

Address
40520 COUNTY HIGHWAY 34
City
Ogema
ZIP Code
56569-9612
Phone
(218) 983-4300

Authorized Official

Name
SCOTT A. TRAPP
Title
CHIEF DENTAL OFFICER
Phone
12189836289

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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