Individual
RICHARD C TENGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
353 FAIRMONT BLVD., RAPID CITY, SD 57701
(605) 719-2300
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
5153
SD
Other
Enumeration date
09/23/2006
Last updated
01/03/2013
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