Organization
BLACK HILLS HOSPITALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE R JOHNSON MD (PRESIDENT)
(605) 718-7450
Entity
Organization
Contact information
Practice address
101 E MINNESOTA ST, SUITE 261, RAPID CITY, SD 57701-7756
(605) 718-7450
(605) 718-7465
Mailing address
101 E MINNESOTA ST, SUITE 261, RAPID CITY, SD 57701-7756
(605) 718-7450
(605) 718-7465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0502
SD
Other
Enumeration date
01/12/2010
Last updated
03/18/2010
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