Organization
GREAT PLAINS CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY ROSHAU (OFFICE MANAGER)
(701) 456-5115
Entity
Organization
Contact information
Practice address
33 9TH ST W, DICKINSON, ND 58601-3950
(701) 483-6017
(701) 483-5018
Mailing address
33 9TH ST W, DICKINSON, ND 58601-3950
(701) 483-6017
(701) 483-5018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0565
ND
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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