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Search › South Dakota › 207P00000X

Ted Brockett, MD

NPI 1760440408 · on the registry since 2006

Practice

Address
3200 Canyon Lake Dr
Rapid City, SD 57702
Phone
(605) 355-2500
Organisation at this address
Oglala Sioux Tribe
Sioux San Hospital
Oglala Sioux Tribe
Sioux San Hospital
Oglala Sioux Tribe
Inferred from a shared address, not stated in the registry.
Clinicians at this address
190

Registry record

Primary taxonomy
207P00000X
207P00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

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