Organization
SPORT CLINIC, PC
Active
Other names
Mitchell Orthopaedic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E MCWHIRTER M.D. (OWNER)
(605) 996-7077
Entity
Organization
Contact information
Practice address
1222 E 7TH AVE, MITCHELL, SD 57301-0309
(605) 996-7077
(605) 996-0297
Mailing address
PO BOX 309, MITCHELL, SD 57301-0309
(605) 996-7077
(605) 996-0297
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1694
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6400430
—
SD
Enumeration date
05/17/2007
Last updated
04/06/2010
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