Individual
EDWARD P VOPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2201 JACKSON BLVD, 100, RAPID CITY, SD 57702-4386
(605) 755-2273
(605) 755-3902
Mailing address
353 FAIRMONT BLVD, ATTEN CHRISTIE MSS, RAPID CITY, SD 57701-7350
(303) 467-4155
(303) 467-4156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0874
SD
363A00000X
Physician Assistant
393
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7393002
—
CO
01
—
970004830
MEDICARE RAILROAD
—
Enumeration date
06/12/2006
Last updated
03/11/2014
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