Individual
DR. CAROLYN M WALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2500
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10273
SD
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
10273
SD
207R00000X
Internal Medicine Physician
04-25472
KS
207R00000X
Internal Medicine Physician
10273
SD
207R00000X
Internal Medicine Physician
10325
ND
207R00000X
Internal Medicine Physician
103474
MO
207R00000X
Internal Medicine Physician
13024-A
WY
207R00000X
Internal Medicine Physician
23218
OK
207R00000X
Internal Medicine Physician
46522
IA
207R00000X
Internal Medicine Physician
65259
MN
207R00000X
Internal Medicine Physician
MD2019-0186
NM
Other
Enumeration date
07/31/2006
Last updated
03/22/2023
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