Provider First Line Business Practice Location Address:
28TH MEDICAL GROUP, ELLSWORTH AFB
Provider Second Line Business Practice Location Address:
6000 DOOLITTLE DRIVE
Provider Business Practice Location Address City Name:
RAPID CITY
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57706-1873
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-385-6700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2013