Organization
INTEGRATED EYE CARE PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN SCARBOROUGH OD (MEMBER AGENT)
(605) 545-2020
Entity
Organization
Contact information
Practice address
685 MOUNTAIN VIEW RD, RAPID CITY, SD 57702-2518
(605) 545-2020
Mailing address
203 BERRY BLVD, RAPID CITY, SD 57702-1809
(605) 545-3030
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
697
SD
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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