NPI 1265495535 · live from the CMS NPI Registry
Cynthia A Anderson
Physician Assistant in Rapid City, SD. National Provider Identifier 1265495535, active.
NPI record
| NPI | 1265495535 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2820 Mount Rushmore Rd, Rapid City, SD 57701 |
| Practice phone | 605-721-8354 |
| Enumerated | April 8, 2006 |
| Last updated | January 22, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 9503 (MN) |
| Physician Assistant primary | 363A00000X | 0726 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.