Black Hills Dermatology Pc in Spearfish - Dermatology
Black Hills Dermatology Pc - NPI 1689831091
Black Hills Dermatology Pc is a Dermatology in Spearfish, South Dakota. Black Hills Dermatology Pc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Black Hills Dermatology Pc is 1689831091. The last update date is 2015-01-30.
Black Hills Dermatology Pc's current location address is 132 E Grant St, Spearfish, South Dakota. You can contact this provider via phone number 6057229090 and fax number 6057229909. The mailing address for Black Hills Dermatology Pc is 132 E Grant St, Spearfish, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Black Hills Dermatology Pc |
|---|---|
| Address | 132 E Grant St, Spearfish, South Dakota |
| Phone Number | 6057229090 |
| Fax Number | 6057229909 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Gorman W Jason |
| Telephone Number | 6053415565 |
NPI Number Detail
| NPI Number | 1689831091 |
|---|---|
| Provider Enumeration Date | 2008-05-22 |
| Last Updated Date | 2015-01-30 |
Provider Mailing Address Detail
| Address | 132 E Grant St |
|---|---|
| City | Spearfish |
| State | South Dakota (SD) |
| Post Code | 577832424 |
| Phone Number | 6057229090 |
| Fax Number | 6057229909 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 370 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique provider identifier assigned to Black Hills Dermatology Pc?
The Black Hills Dermatology Pc has been issued the NPI (National Provider Identifier) 1689831091 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Black Hills Dermatology Pc?
The Black Hills Dermatology Pc is situated at 132 E Grant St, in the city of Spearfish, state of SD, with the zip code 577832424.
What is Black Hills 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 Black Hills Dermatology Pc is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1689831091 to Black Hills Dermatology Pc?
The Black Hills Dermatology Pc received its 1689831091 assignment from the Centers for Medicare & Medicaid Services on 2008-05-22.
When was the information related to Black Hills Dermatology Pc most recently updated or refreshed?
The details pertaining to the Black Hills Dermatology Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-01-30.