Individual
PAETON MOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5474
(605) 342-3280
Mailing address
5713 BENDT DR, RAPID CITY, SD 57702-9618
(605) 393-7051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1181
SD
Other
Enumeration date
02/28/2019
Last updated
12/14/2020
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