Provider First Line Business Practice Location Address:
414 N. 7TH ST.
Provider Second Line Business Practice Location Address:
MEDCENTER ONE, INC.
Provider Business Practice Location Address City Name:
BISMARCK
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-323-5870
Provider Business Practice Location Address Fax Number:
701-323-5869
Provider Enumeration Date:
07/23/2007