Organization
MEDICAL ARTS CLINIC, PRO. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER A QUASNEY (CLINIC MANAGER)
(605) 342-2880
Entity
Organization
Contact information
Practice address
717 SAINT FRANCIS ST, RAPID CITY, SD 57701-4677
(605) 342-2880
(605) 388-4621
Mailing address
717 SAINT FRANCIS ST, RAPID CITY, SD 57701-4677
(605) 342-2880
(605) 388-4621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008005
BCBS
SD
01
—
CH6722
RAILROAD MEDICARE
SD
Enumeration date
05/28/2006
Last updated
12/18/2012
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