Individual
PETER SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 720-7140
Mailing address
1008 AZTEC DR, RAPID CITY, SD 57702-2818
(605) 342-5654
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
0053
SD
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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