Individual
WESLEY L SUFFICOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
211 FOUNDERS PARK DR STE 2, RAPID CITY, SD 57701-8099
(605) 791-5553
(605) 791-5644
Mailing address
211 FOUNDERS PARK DR STE 2, RAPID CITY, SD 57701-8099
(605) 791-5553
(605) 791-5644
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4023
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00416084
RR MEDICARE
SD
Enumeration date
10/12/2006
Last updated
07/14/2023
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