Individual
DR. MANUEL C GUZMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2443
(605) 355-2403
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2443
(605) 355-2403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1304
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5549050
—
SD
Enumeration date
04/11/2006
Last updated
07/08/2007
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