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Organization
SOUTHERN HILLS FAMILY MEDICINE, PROF LLC
Active
Organization
SOUTHERN HILLS FAMILY MEDICINE, PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDYN A TARAP MD (SOLE MEMBER)
(605) 673-3900
Entity
Organization
Contact information
Practice address
1369 MONTGOMERY ST, CUSTER, SD 57730-8246
(605) 673-3900
Mailing address
1369 MONTGOMERY ST, CUSTER, SD 57730-8246
(605) 673-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
09/07/2023
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