Individual
THEODORE G OBENCHAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2805 5TH ST, RAPID CITY, SD 57701-7306
(605) 719-5650
(605) 719-5655
Mailing address
PO BOX 3450, RAPID CITY, SD 57709-3450
(605) 719-5650
(605) 719-5655
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
5439
SD
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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