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Individual

WILLIAM C DIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
(208) 750-7516
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 342-3758
(509) 342-3761

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9106
SD
207R00000X
Internal Medicine Physician
M9046
ID
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD00042788
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806983600
ID
05
L13360
WA
Enumeration date
02/15/2006
Last updated
09/29/2017
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