Individual
MATTHEW THRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3223 W MAIN ST, RAPID CITY, SD 57702-2314
(605) 343-6372
Mailing address
3223 W MAIN ST, RAPID CITY, SD 57702-2314
(605) 343-6372
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
1019-0376-ST
SD
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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