| Cascade Integrative Medicine Of South Dakota, P.c. | |
|
1501 Highway 18 Byp Hot Springs SD 57747-9600 | |
| (605) 745-5102 | |
| (605) 745-6707 |
| Full Name | Cascade Integrative Medicine Of South Dakota, P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 1501 Highway 18 Byp, Hot Springs, South Dakota |
| Authorized Official Name and Position | Gerald Vern Peterson (PRESIDENT) |
| Authorized Official Contact | 6057455102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Integrative Medicine Of South Dakota, P.c. 1501 Highway 18 Byp Hot Springs SD 57747-9600 Ph: (605) 745-5102 | Cascade Integrative Medicine Of South Dakota, P.c. 1501 Highway 18 Byp Hot Springs SD 57747-9600 Ph: (605) 745-5102 |
| NPI Number | 1952591000 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952591000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | 0177 (South Dakota) | Primary |
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