Individual
THOMAS DAVID MINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 N. 5TH STREET, HOT SPRINGS, SD 57747
(605) 745-2000
Mailing address
PO BOX 436, HOT SPRINGS, SD 57747
(605) 745-3173
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R076639-9
MN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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