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Individual

MR. MARK GREGORY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RRT

Contact information

Practice address
4549 CANDLEWOOD PL, APT. 305, RAPID CITY, SD 57702-1605
(240) 422-1979
Mailing address
4549 CANDLEWOOD PL, APT. 305, RAPID CITY, SD 57702-1605
(240) 422-1979

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
RC250
DC
227900000X
Registered Respiratory Therapist
Primary
YM006446L
PA

Other

Enumeration date
05/04/2007
Last updated
09/11/2025
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