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Organization

RIVER RIDGE SPINE & REHABILITATION CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER I VAN RIPER DC (PRESIDENT/OWNER)
(605) 334-7371
Entity
Organization

Contact information

Practice address
4925 E 26TH ST, SIOUX FALLS, SD 57110-6950
(605) 334-7371
(605) 332-6616
Mailing address
4925 E 26TH ST, SIOUX FALLS, SD 57110-6950
(605) 334-7371
(605) 332-6616

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
796
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0006606
GROUP BCBS NUMBER
SD
05
7602220
SD
Enumeration date
04/17/2006
Last updated
01/11/2023
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