Individual
SAMUEL L MORTIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7220 MOUNT RUSHMORE RD, RAPID CITY, SD 57702-8754
(605) 341-1414
(605) 341-7062
Mailing address
PO BOX 6850, RAPID CITY, SD 57709-6850
(605) 341-1414
(605) 341-7062
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7230
SD
Other
Enumeration date
05/10/2007
Last updated
07/22/2024
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