Individual
DELORIS HAIBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 342-3280
(605) 721-8458
Mailing address
PO BOX 6020, RAPID CITY, SD 57709-6020
(605) 342-3280
(605) 721-8458
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000747
SD
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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