Individual
LARRY L TEUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9701 CLARKSON RD, RAPID CITY, SD 57702-9100
(605) 484-1616
(605) 394-9307
Mailing address
9701 CLARKSON RD, RAPID CITY, SD 57702-9100
(605) 484-1616
(605) 394-9307
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
3403
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002709
WELLMARK BCBS PIN
SD
05
—
103250000
—
WY
01
—
1477512036
NPI
SD
01
—
3403
DAKOTACARE PIN
SD
05
—
6100332
—
SD
Enumeration date
03/22/2006
Last updated
11/07/2012
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