Provider First Line Business Practice Location Address:
726 80TH AVE NW
Provider Second Line Business Practice Location Address:
THREE AFFILIATED TRIBES TWIN BUTTES FIELD CLINIC
Provider Business Practice Location Address City Name:
HALLIDAY
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58636-4001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-938-4540
Provider Business Practice Location Address Fax Number:
701-938-4541
Provider Enumeration Date:
07/16/2014