BEAU C IRELAND

RAPID CITY, SD
NPI1922838499
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-08-07
Last Update Date2024-08-07
Business Address
BEAU C IRELAND PA
4141 5TH ST
RAPID CITY, SD 57701-6021
Phone number: 605-341-1414
Mailing Address
BEAU C IRELAND PA
PO BOX 6850
RAPID CITY, SD 57709-6850
Phone number: 605-737-9144