Organization
BLACK HILLS ORTHOTICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALAN PARRELL CO (OWNER CERTIFIED ORTHOTIST)
(605) 341-8577
Entity
Organization
Contact information
Practice address
1802 ELM AVE, RAPID CITY, SD 57701-3846
(605) 341-8577
(605) 341-7656
Mailing address
3639 AVENUE B, SCOTTSBLUFF, NE 69361-4637
(308) 632-4641
(308) 632-6247
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
53-001-E-ST
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9151810
—
SD
Enumeration date
02/09/2007
Last updated
07/21/2022
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