Organization
BLACK HILLS HEARING HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY MARIE GWALTNEY AUD (AUDIOLOGIST)
(605) 388-5781
Entity
Organization
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 388-5781
(605) 721-8439
Mailing address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 388-5781
(605) 721-8439
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
010A
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5833460
—
SD
Enumeration date
09/22/2010
Last updated
09/22/2010
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