Provider First Line Business Practice Location Address:
100 MACK LANE
Provider Second Line Business Practice Location Address:
MEDICAL ASSOCIATES CLINIC,LLP
Provider Business Practice Location Address City Name:
PIERRE
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-224-5901
Provider Business Practice Location Address Fax Number:
605-945-5296
Provider Enumeration Date:
06/27/2006