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677 Cathedral Dr Ste 201 Rapid City SD 57701-7389 | |
| (605) 755-5276 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 677 Cathedral Dr, Rapid City, South Dakota |
| Authorized Official Name and Position | John Pierce (PRESIDENT OF MONUMENT HEALTH) |
| Authorized Official Contact | 6057558162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 860013 Minneapolis MN 55486-0013 Ph: (605) 755-5276 | 677 Cathedral Dr Ste 201 Rapid City SD 57701-7389 Ph: (605) 755-5276 |
| NPI Number | 1164797189 |
|---|---|
| Provider Enumeration Date | 03/09/2012 |
| Last Update Date | 03/31/2020 |
| Certification Date | 03/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164797189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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