Individual
CASSIDY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4150 5TH ST, RAPID CITY, SD 57701-6022
(605) 755-6000
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 690-6592
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
09/15/2025
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