Individual
STEVEN C SHORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
949 HARMON ST, STURGIS, SD 57785-2452
(605) 347-2536
Mailing address
PO BOX 3450, RAPID CITY, SD 57709-3450
(605) 347-2536
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R025352
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4994494
WELLMARK
SD
05
—
5751063
—
SD
01
—
R025352
DAKOTACARE
SD
Enumeration date
07/03/2006
Last updated
03/10/2008
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