Individual
GARY PILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 KANSAS CITY ST, RAPID CITY, SD 57701-3673
(605) 348-2323
Mailing address
501 KANSAS CITY ST, RAPID CITY, SD 57701-3673
(605) 348-2323
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9281160
—
SD
Enumeration date
12/01/2006
Last updated
07/08/2007
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