| NPI | 1639373756 |
|---|---|
| Doing Business As | MOBRIDGE FAMILY PRACTICE CLINIC |
| Entity Type | Organization |
| Authorized Contact | RON L JACOBSON CEO 605-622-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 10525) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-01-18 |