is a Physician Assistant in Rapid City, South Dakota. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1265543151. The last update date is .
's current location address is 3802 Cosport Ct, Rapid City, South Dakota. You can contact this provider via phone number 6057915385. The mailing address for is 3802 Cosport Ct, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3802 Cosport Ct, Rapid City, South Dakota |
| Phone Number | 6057915385 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1265543151 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3802 Cosport Ct |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577026936 |
| Phone Number | 6057915385 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 185 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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