Individual
DANIEL ANTHONY ZIMBARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2500
Mailing address
3518 BROOKSIDE DR, RAPID CITY, SD 57702-2211
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R046685
SD
Other
Enumeration date
12/20/2022
Last updated
02/14/2023
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