Organization
FOOTHILLS FAMILY CLINIC
Active
Other names
Patricia Stephenson
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA J STEPHENSON MD (OWNER)
(605) 718-7625
Entity
Organization
Contact information
Practice address
8075 STAGESTOP RD, BLACK HAWK, SD 57718
(605) 718-7625
(605) 718-7627
Mailing address
PO BOX 418, BLACK HAWK, SD 57718
(605) 718-7625
(605) 718-7627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
08/22/2020
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