MEDICAL ASSOCIATES OF THE BLACK HILLC, LLC.
Organization (NPI-2)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1871638072- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 640 FLORMANN ST STE 100, RAPID CITY, SD, 577014695
- Phone
- (605) 718-3219
- Fax
- (605) 718-3412
Specialties & Taxonomies
Internal Medicine
License: SD #3963
Internal Medicine
License: SD #1382
Internal Medicine
License: SD #2150
Internal Medicine
License: SD #5432
Pediatrics
License: SD #4739
Pediatrics
License: SD #5507
Surgery
License: SD #3563
Surgery
License: SD #4023
Surgery
License: SD #2113
Nurse Practitioner, Pediatrics
License: SD #R024930
Nurse Practitioner, Pediatrics
Primary License: SD #CP000457