Queen City Regional Medical Clinic
NPI #1326224627 in Spearfish, South Dakota
Provider Information
- NPI Number
- 1326224627
- Entity Type
- Organization
- Organization Name
- Queen City Regional Medical Clinic
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jan 16, 2008
- Last Updated
- Jan 16, 2008
Practice Location
- Address
- 1420 N. 10TH STREET
- City
- Spearfish
- State
- South Dakota
- ZIP Code
- 57783-1532
- Phone
- (605) 642-8414
Authorized Official
- Name
- LANA GROUT
- Title
- ADMINISTRATOR
- Phone
- (605) 642-8414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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