Organization
MARK BONTREGER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ELDON BONTREGER PSY.D. (PRESIDENT)
(605) 882-0800
Entity
Organization
Contact information
Practice address
525 5TH ST SE, SUITE L-13, WATERTOWN, SD 57201-4940
(605) 882-0800
(605) 882-0861
Mailing address
525 5TH ST SE, SUITE L-13, WATERTOWN, SD 57201-4940
(605) 882-0800
(605) 882-0861
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
364
SD
Other
Enumeration date
09/21/2007
Last updated
06/24/2011
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