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Organization

AMERICAN ADVANCED PRACTICE NETWORK, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLEN EWALT (OPERATIONS DIRECTOR)
(646) 970-3538
Entity
Organization

Contact information

Practice address
1056 29TH ST SE, WATERTOWN, SD 57201-9120
(605) 753-0960
Mailing address
PO BOX 269083, LOCKBOX #2035, OKLAHOMA CITY, OK 73126-9083

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
03/13/2019
Last updated
11/11/2022
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