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Maverick Health Care, Prof. Llc
Primary Care Clinic/Center in Belle Fourche, South Dakota
NPI 1104559814

Maverick Health Care, Prof. Llc is a Primary Care Clinic/Center based in Spearfish, SD and is specialized in Primary Care. Maverick Health Care, Prof. Llc practices in Belle Fourche, SD. The NPI Number for Maverick Health Care, Prof. Llc is 1104559814 and holds a License No. (South Dakota).

The current practice location address for Maverick Health Care, Prof. Llc is 2200 13Th Ave, Belle Fourche, SD and can be reached out via phone at 605-892-3331.

Location: 2200 13Th Ave, Belle Fourche, SD, 57783-9702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104559814
Provider Name
Maverick Health Care, Prof. Llc
Credential
Provider Entity Type
Organization
Address
2200 13Th Ave, Belle Fourche, SD, 57783-9702
Phone Number
605-892-3331
Fax Number
Provider Enumeration Date
07/08/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104559814 01 FAMILY MEDICINE
institution
Provider Business Practice Location Address Details
Address
2200 13Th Ave
City
Belle Fourche
State
South Dakota
Zip
57717-2215
Phone Number
605-892-3331
Fax Number
person
Provider Business Mailing Address Details
Address
2200 13Th Ave
City
Belle Fourche
State
South Dakota
Zip
57717-2215
Phone Number
605-892-3331
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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