Provider First Line Business Practice Location Address:
QUEEN CITY REGIONAL MEDICAL CLINIC
Provider Second Line Business Practice Location Address:
1420 N. 10TH STREET
Provider Business Practice Location Address City Name:
SPEARFISH
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57783-1532
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-642-8414
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/10/2006