| NPI | 1720025190 |
|---|---|
| Doing Business As | LEAD-DEADWOOD REGIONAL MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TRACI MATTHEW Clinic Administrator 605-717-6431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: SD 42-005-460372453e) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: SD 43D1071729) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-12-26 |