NPI 1346389178 · live from the CMS NPI Registry
Advanced Dermatology Center, PC
Dermatology in Rapid City, SD. National Provider Identifier 1346389178, active.
NPI record
| NPI | 1346389178 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 710 Saint Anne Street, Rapid City, SD 57701 |
| Practice phone | 605-343-8000 |
| Mailing address | Po Box 3468, Rapid City, SD 57709 |
| Enumerated | February 6, 2007 |
| Last updated | February 13, 2018 |
| Authorized official | Sheila Boddicker, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | — |
| Dermatology primary | 207N00000X | 0329 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.