Provider First Line Business Practice Location Address:
419 5TH ST NE
Provider Second Line Business Practice Location Address:
MEDCENTER ONE DIALYSIS UNIT
Provider Business Practice Location Address City Name:
JAMESTOWN
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-952-4872
Provider Business Practice Location Address Fax Number:
701-952-3271
Provider Enumeration Date:
03/12/2007