# CRISMAN DIXON & ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Back to Health Wellness Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760597116
- **Authorized official:** DR. BRUCE ALVIN CRISMAN D.C. (PRESIDENT)
- **Authorized official phone:** (605) 718-7312

## Contact information

- **Practice address:** 343 QUINCY ST, SUITE 100, RAPID CITY, SD 57701-3700
- **Practice address phone:** (605) 718-7312
- **Practice address fax:** (605) 718-9008
- **Mailing address:** 343 QUINCY STREET, SUITE 100, RAPID CITY, SD 57701-3700
- **Mailing address phone:** (605) 718-7312
- **Mailing address fax:** (605) 718-9008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 774 | SD | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 03/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7600534 | — | SD |