Organization
ADVANCED ENT AND ALLERGY CENTER OF THE BLACK HILLS, PROF LLC
Active
Other names
Advanced ENT and Allergy Center of the Black Hills, Prof LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY WARREN WHITE MD (OWNER)
(605) 716-6390
Entity
Organization
Contact information
Practice address
4940 5TH ST STE 2B, RAPID CITY, SD 57701-6026
(605) 716-6390
Mailing address
4940 5TH ST STE 2B, RAPID CITY, SD 57701-6026
(605) 716-6390
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
02/08/2021
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