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Organization
CRISMAN DIXON & ASSOCIATES P C
Active
Organization
CRISMAN DIXON & ASSOCIATES P C
Active
Other names
Back to Health Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A CRISMAN D.C. (PRESIDENT)
(605) 718-7312
Entity
Organization
Contact information
Practice address
552 KIRKEBY LN, RAPID CITY, SD 57702-2502
(605) 718-7312
(605) 718-9008
Mailing address
552 KIRKEBY LN, RAPID CITY, SD 57702-2502
(605) 718-7312
(605) 718-9008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
774
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040127
BCBS
SD
05
—
7600534
—
SD
Enumeration date
12/12/2006
Last updated
08/22/2020
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