Individual
DANIEL SCOTT PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7220 MOUNT RUSHMORE RD, RAPID CITY, SD 57702-8754
(605) 341-1414
Mailing address
PO BOX 6850, RAPID CITY, SD 57709-6850
(605) 737-9144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
273
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1254560001
CIGNA MEDICARE
SD
05
—
6822013
—
SD
01
—
970005945
MEDICARE RAILROAD PTAN
—
Enumeration date
01/23/2006
Last updated
07/21/2022
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