West River Dermatology, Pc in Rapid City - Mohs-micrographic Surgery
West River Dermatology, Pc - NPI 1013010974
West River Dermatology, Pc is a Mohs-micrographic Surgery in Rapid City, South Dakota. West River Dermatology, Pc practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for West River Dermatology, Pc is 1013010974. The last update date is 2008-03-11.
West River Dermatology, Pc's current location address is 717 Meade St, Rapid City, South Dakota. You can contact this provider via phone number 6053415910 and fax number 6053419052. The mailing address for West River Dermatology, Pc is 717 Meade St, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West River Dermatology, Pc |
|---|---|
| Address | 717 Meade St, Rapid City, South Dakota |
| Phone Number | 6053415910 |
| Fax Number | 6053419052 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Knutsen S Roger |
| Credentials | M.D. |
| Telephone Number | 6053415910 |
NPI Number Detail
| NPI Number | 1013010974 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2008-03-11 |
Provider Mailing Address Detail
| Address | 717 Meade St |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577015100 |
| Phone Number | 6053415910 |
| Fax Number | 6053419052 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | 266 |
|
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3099 | SD | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to West River Dermatology, Pc by the Centers for Medicare & Medicaid Services?
The West River Dermatology, Pc has been issued the NPI (National Provider Identifier) 1013010974. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where West River Dermatology, Pc is physically located?
The West River Dermatology, Pc is physically situated at the following address: 717 Meade St, Rapid City, SD, 577015100.
What is West River Dermatology, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for West River Dermatology, Pc is Mohs-micrographic Surgery, and the taxonomy code that categorizes this field of expertise is 207Nd0101X.
On what date did West River Dermatology, Pc receive its 1013010974 assignment from the Centers for Medicare & Medicaid Services?
The West River Dermatology, Pc was assigned its 1013010974 on 2006-09-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to West River Dermatology, Pc most recently updated or revised?
The details related to West River Dermatology, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-11.