| NPI | 1124563655 |
|---|---|
| Doing Business As | MONUMENT HEALTH MEDICAL CLINIC-LEAD DEADWOOD |
| Entity Type | Organization |
| Authorized Contact | MARK SCHMIDT President Custer Ld Dwd Markets 605-755-8094 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2022-03-09 |