Individual
JAMI KORTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1445 NORTH AVE, SPEARFISH, SD 57783
(605) 644-4170
(605) 644-4198
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0611
SD
Other
Enumeration date
05/22/2006
Last updated
02/06/2013
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