Provider First Line Business Practice Location Address:
HWY 5
Provider Second Line Business Practice Location Address:
QUENTIN N. BURDICK COMPREHENSIVE HEALTH CARE FACILITY
Provider Business Practice Location Address City Name:
BELCOURT
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-477-6111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/21/2007