Search › South Dakota › 225700000X
Tile Pan
NPI 1619559739 · on the registry since 2021 · sole proprietor
Practice
- Address
- 2415 Mount Rushmore Rd Ste B
Rapid City, SD 57701 - Phone
- (605) 545-8543
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota