Organization
PRISCILLA F. BADE, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRISCILLA F BADE MD (PHYSICIAN)
(605) 718-4380
Entity
Organization
Contact information
Practice address
1021 FRANKLIN ST, RAPID CITY, SD 57701-4524
(605) 718-4380
(605) 718-4396
Mailing address
1021 FRANKLIN ST, RAPID CITY, SD 57701-4524
(605) 718-4380
(605) 718-4396
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3651
SD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
3651
SD
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
3651
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S109463
MEDICARE PTAN
—
Enumeration date
10/30/2015
Last updated
10/30/2015
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