Organization
GARRY PSYCHIATRIC COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK THOMAS GARRY M.D. (PSYCHIATRIST)
(605) 877-1324
Entity
Organization
Contact information
Practice address
636 SAINT ANNE ST, RAPID CITY, SD 57701-4694
(605) 721-8822
Mailing address
636 SAINT ANNE ST, RAPID CITY, SD 57701-4694
(605) 721-8822
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5002
SD
Other
Enumeration date
08/23/2010
Last updated
09/01/2010
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