Individual
RANSOM BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
23757 ARENA DR, RAPID CITY, SD 57702-7302
(605) 341-3377
Mailing address
805 BLAINE AVE, RAPID CITY, SD 57701-1278
(307) 752-1136
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0529
SD
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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