NPI 1013010974 · live from the CMS NPI Registry
West River Dermatology, PC
Dermatology, MOHS-Micrographic Surgery in Rapid City, SD. National Provider Identifier 1013010974, active.
NPI record
| NPI | 1013010974 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 717 Meade St, Suite 100, Rapid City, SD 57701 |
| Practice phone | 605-341-5910 |
| Enumerated | September 6, 2006 |
| Last updated | March 11, 2008 |
| Authorized official | Roger Knutsen, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | 0266 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.