Individual
SUZANNE NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 5TH ST, RAPID CITY, SD 57701-7316
(605) 341-7337
Mailing address
15073 JUSTICE RD, BOX ELDER, SD 57719-8122
(605) 484-1760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09161298
SD
Other
Enumeration date
10/10/2016
Last updated
10/11/2016
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