institution
Plastic Surgical Center Of Rapid City, Prof. L.l.c.
Ambulatory Surgical Clinic/Center in Rapid City, South Dakota
NPI 1760465207

Plastic Surgical Center Of Rapid City, Prof. L.l.c. is an Ambulatory Surgical Clinic/Center based in Rapid City, SD and is specialized in Ambulatory Surgical. Plastic Surgical Center Of Rapid City, Prof. L.l.c. practices in Rapid City, SD. The NPI Number for Plastic Surgical Center Of Rapid City, Prof. L.l.c. is 1760465207 and holds a License No. 11152 (South Dakota).

The current practice location address for Plastic Surgical Center Of Rapid City, Prof. L.l.c. is 3615 5Th St, Rapid City, SD and can be reached out via phone at 605-343-6714 and via fax at 605-343-2130.

Location: 3615 5Th St, Rapid City, SD, 57701-6014
institution
Provider Profile Details
NPI Number
1760465207
Provider Name
Plastic Surgical Center Of Rapid City, Prof. L.l.c.
Credential
Provider Entity Type
Organization
Address
3615 5Th St, Rapid City, SD, 57701-6014
Phone Number
605-343-6714
Fax Number
605-343-2130
Provider Enumeration Date
11/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
81014 01 SD WELLMARK BCBS #
institution
Provider Business Practice Location Address Details
Address
3615 5Th St
City
State
Zip
57701-6014
Phone Number
605-343-6714
Fax Number
605-343-2130
person
Provider Business Mailing Address Details
Address
3615 5Th St
City
State
Zip
57701-6014
Phone Number
605-343-6714
Fax Number
605-343-2130
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
11152 (South Dakota)
Definition
Definition to come...
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