Organization
PROFESSIONAL MEDICAL CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAUREEN ERIN STEPHENSON D.O. (PRESIDENT)
(605) 737-7777
Entity
Organization
Contact information
Practice address
550 N 5TH ST, SUITE 110, RAPID CITY, SD 57701-1375
(605) 737-7777
(605) 737-7778
Mailing address
PO BOX 2652, RAPID CITY, SD 57709-2652
(605) 737-7777
(605) 737-7778
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4786
SD
2084P0800X
Psychiatry Physician
4785
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0453
STATE LICENSE NUMBER
SD
Enumeration date
03/23/2007
Last updated
01/04/2008
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