Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 114 4th Ave, Wall, South Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386903045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1220 Mt Rushmore Rd Suite 1, Rapid City, SD 57701 Ph: (605) 341-7500 | 114 4th Ave, Wall, SD 57790 Ph: (605) 341-7500 |