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Organization
EXCEPTIONAL PHYSICIANS GROUP RAPID CITY PLLC
Active
Organization
EXCEPTIONAL PHYSICIANS GROUP RAPID CITY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD IVAN COLLINS (DIRECTOR OF ENROLLMENT)
(972) 740-9335
Entity
Organization
Contact information
Practice address
1700 DYESS AVENUE, RAPID CITY, SD 57701
(469) 341-7800
(469) 807-1208
Mailing address
3514 CEDAR SPRINGS RD, DALLAS, TX 75219-4901
(469) 341-7800
(469) 807-1208
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
07/14/2026
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