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 |