Individual
DEMETRIA L GLADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
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
363A00000X
Physician Assistant
Primary
0632
SD
Other
Enumeration date
08/15/2006
Last updated
07/21/2022
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