Organization
WILSON ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE WILSON CRNA (PRESIDENT)
(605) 661-6979
Entity
Organization
Contact information
Practice address
240 MINNESOTA ST, RAPID CITY, SD 57701-6200
(605) 661-6979
Mailing address
240 MINNESOTA ST, RAPID CITY, SD 57701-6200
(605) 661-6979
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000635
SD
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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