institution
Innovative Procedural Center Llc
Ambulatory Surgical Clinic/Center in Watertown, South Dakota
NPI 1184660151

Innovative Procedural Center Llc is an Ambulatory Surgical Clinic/Center based in Watertown, SD and is specialized in Ambulatory Surgical. Innovative Procedural Center Llc practices in Watertown, SD. The NPI Number for Innovative Procedural Center Llc is 1184660151 and holds a License No. 51560 (South Dakota).

The current practice location address for Innovative Procedural Center Llc is 1512 4Th St Ne, Watertown, SD and can be reached out via phone at 605-884-0100. You can also correspond with Innovative Procedural Center Llc through the mailing address at 1201 MICKELSON DR STE 2, WATERTOWN, SD - 57201-7253 (mailing address contact number: 605-882-0432).

Location: 1512 4Th St Ne, Watertown, SD, 57201-7253
institution
Provider Profile Details
NPI Number
1184660151
Provider Name
Innovative Procedural Center Llc
Credential
Provider Entity Type
Organization
Address
1512 4Th St Ne, Watertown, SD, 57201-7253
Phone Number
605-884-0100
Fax Number
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81020 01 SD BCBS - GROUP
610973000 05 MN
P00188503 01 SD RAILROAD MEDICARE
5490390 05 SD
4N38IN 01 MN BCBS - GROUP
institution
Provider Business Practice Location Address Details
Address
1512 4Th St Ne
City
State
Zip
57201-6824
Phone Number
605-884-0100
Fax Number
person
Provider Business Mailing Address Details
Address
1512 4Th St Ne
City
State
Zip
57201-6824
Phone Number
605-884-0100
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
51560 (South Dakota)
Definition
Definition to come...
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