# CASCADE INTEGRATIVE MEDICINE OF SOUTH DAKOTA, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952591000
- **Authorized official:** GERALD VERN PETERSON PHYS. ASST. (PRESIDENT)
- **Authorized official phone:** (605) 745-5102

## Contact information

- **Practice address:** 1501 HIGHWAY 18 BYP, HOT SPRINGS, SD 57747-9600
- **Practice address phone:** (605) 745-5102
- **Practice address fax:** (605) 745-6707
- **Mailing address:** 1501 HIGHWAY 18 BYP, HOT SPRINGS, SD 57747-9600
- **Mailing address phone:** (605) 745-5102
- **Mailing address fax:** (605) 745-6707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 0177 | SD | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/25/2007
- **Last updated:** 05/27/2008