| NPI | 1629253588 |
|---|---|
| Doing Business As | QUEEN CITY REGIONAL MEDICAL CLINIC AND SPRMC DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | CHRISTIE NELSON Provider Enrollment COO Rdinator 605-719-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2011-08-05 |