| |
112 N 2nd Ave W, Faith, SD 57626-0000 | |
(605) 341-7500 | |
(605) 341-7500 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 112 N 2nd Ave W, Faith, South Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376819409 | NPI | - | NPPES |
0004738 | Other | SD | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 994 (South Dakota) | Primary |
Mailing Address | Practice Location Address |
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1220 Mt Rushmore Rd, Suite 1, Rapid City, SD 57701-8264 Ph: (605) 341-7500 | 112 N 2nd Ave W, Faith, SD 57626-0000 Ph: (605) 341-7500 |