Individual
MALLORY WIPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
717 SAINT FRANCIS STREET, RAPID CITY, SD 57701-4677
(605) 342-2880
(833) 468-4799
Mailing address
717 SAINT FRANCIS ST, RAPID CITY, SD 57701-4677
(605) 342-2880
(833) 468-4799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1057
SD
Other
Enumeration date
09/19/2016
Last updated
05/04/2026
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