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John Clayton Zimbardo
Surgical Physician Assistant in Rapid City, South Dakota
NPI 1790332245

John Clayton Zimbardo is a Surgical Physician Assistant based in Simi Valley, SD and is specialized in Surgical. John Clayton Zimbardo practices in Rapid City, SD. The NPI Number for John Clayton Zimbardo is 1790332245 and holds a License No. 1308 (South Dakota).

The current practice location address for John Clayton Zimbardo is 2805 5Th St, Rapid City, SD and can be reached out via phone at 605-755-5700.

Location: 2805 5Th St, Rapid City, SD, 93063-1540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790332245
Provider Name
John Clayton Zimbardo
Credential
Provider Entity Type
Individual
Gender
Male
Address
2805 5Th St, Rapid City, SD, 93063-1540
Phone Number
605-755-5700
Fax Number
Provider Enumeration Date
08/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2805 5Th St
City
Rapid City
State
South Dakota
Zip
57701-6003
Phone Number
605-755-5700
Fax Number
person
Provider Business Mailing Address Details
Address
2805 5Th St
City
Rapid City
State
South Dakota
Zip
57701-6003
Phone Number
605-755-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
1308 (South Dakota)
Definition
Definition to come...
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