Individual
DR. LINDA JO FROMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4447 S CANYON RD STE 6, RAPID CITY, SD 57702-1889
(605) 721-5550
(605) 721-5515
Mailing address
4447 S CANYON RD STE 6, RAPID CITY, SD 57702-1889
(605) 721-5550
(605) 721-5515
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
24277
NE
207N00000X
Dermatology Physician
Primary
8292
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S108403
MEDICARE PTAN
SD
Enumeration date
08/16/2007
Last updated
03/09/2015
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