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Organization
WEST RIVER PHYSICIANS ALLIANCE, LLC
Active
Organization
WEST RIVER PHYSICIANS ALLIANCE, LLC
Active
Other names
West River Physicians Alliance, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY J ARCHER M.D. (CHIEF MEDICAL OFFICER, CS EXECUTIVE)
(605) 755-7118
Entity
Organization
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-7649
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-7649
(605) 755-0707
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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