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Individual

PAUL M ORECCHIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4150 FIFTH STREET, RAPID CITY, SD 57701
(605) 399-4300
(605) 399-4352
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
MD038735E
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
5503
SD
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD038735E
PA

Other

Enumeration date
05/27/2006
Last updated
04/29/2016
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