| Family Medicine Residency Clinic Part B | |
|
502 E Monroe St Rapid City SD 57701-1400 | |
| (605) 719-4060 | |
| (605) 755-7884 |
| Full Name | Family Medicine Residency Clinic Part B |
|---|---|
| Speciality | Family Medicine |
| Location | 502 E Monroe St, Rapid City, South Dakota |
| Authorized Official Name and Position | Michael E Gibbs (PRESIDENT-RCRH) |
| Authorized Official Contact | 6057558162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Residency Clinic Part B Po Box 860013 Minneapolis MN 55486-0013 Ph: (605) 719-4060 | Family Medicine Residency Clinic Part B 502 E Monroe St Rapid City SD 57701-1400 Ph: (605) 719-4060 |
| NPI Number | 1043699960 |
|---|---|
| Provider Enumeration Date | 05/26/2015 |
| Last Update Date | 05/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043699960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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