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Organization
RUSHMORE CLINIC, P.C.
Active
Organization
RUSHMORE CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY L KRAUSE (CLINIC MANAGER)
(605) 718-7450
Entity
Organization
Contact information
Practice address
101 E MINNESOTA ST, SUITE 260, RAPID CITY, SD 57701-7756
(605) 718-7450
(605) 718-7465
Mailing address
101 E MINNESOTA ST, SUITE 260, RAPID CITY, SD 57701-7756
(605) 718-7450
(605) 718-7465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1584
SD
363A00000X
Physician Assistant
0348
SD
Other
Enumeration date
12/29/2006
Last updated
04/20/2008
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