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Organization

THE REHAB DOCTORS PC

Active
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Organization

THE REHAB DOCTORS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER T DIETRICH MD (PRESIDENT OF CORPORATION)
(605) 721-7246
Entity
Organization

Contact information

Practice address
1136 JACKSON BLVD, SUITE 3, RAPID CITY, SD 57702-4397
(605) 721-7246
(605) 341-4501
Mailing address
1136 JACKSON BLVD, RAPID CITY, SD 57702-4396
(605) 721-7246
(605) 341-4501

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5300141945007EUF001
SD
208VP0014X
Interventional Pain Medicine Physician
5300141945007EUT001
SD

Other

Enumeration date
11/30/2005
Last updated
09/26/2013
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