Individual
DR. BRIAN KEITH GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2398 5TH AVE STE 105, BELLE FOURCHE, SD 57717-2340
(605) 723-3937
(605) 723-3940
Mailing address
2398 5TH AVE STE 105, BELLE FOURCHE, SD 57717-2340
(605) 723-3937
(605) 723-3940
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
624
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4992551
WELLMARK - DEADWOOD
SD
01
—
4993782
WELLMARK - SPEARFISH
SD
05
—
9203660
—
SD
05
—
9203662
—
SD
Enumeration date
07/25/2006
Last updated
03/25/2024
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