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Organization
YANKTON MEDICAL CLINIC PC
Active
Organization
YANKTON MEDICAL CLINIC PC
Active
Parent organization
YANKTON MEDICAL CLINIC PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
YANKTON MEDICAL CLINIC PC
Authorized official
CHARLES A AMAN (EXECUTIVE DIRECTOR)
(605) 665-7841
Entity
Organization
Contact information
Practice address
1104 W 8TH ST, YANKTON, SD 57078
(605) 665-7841
(605) 665-0546
Mailing address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
(605) 665-0546
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
11145
SD
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5490090
—
SD
Enumeration date
01/13/2006
Last updated
05/21/2018
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