Individual
MARY MCADOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
QUEEN CITY REGIONAL MEDICAL CLINIC, 1420 N. 10TH STREET, SPEARFISH, SD 57783-1532
(605) 642-8414
Mailing address
194 PINE CONE AVE, SPEARFISH, SD 57783-8638
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4916
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6701480
—
SD
Enumeration date
02/10/2006
Last updated
08/13/2007
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