Provider First Line Business Practice Location Address:
#1 HOSPITAL ROAD
Provider Second Line Business Practice Location Address:
QUENTIN N. BURDICK PHS HOSPITAL
Provider Business Practice Location Address City Name:
BELCOURT
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58316-0160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-477-8439
Provider Business Practice Location Address Fax Number:
701-477-8402
Provider Enumeration Date:
08/04/2006