Individual
SIRI SHIRENE KNUTSEN LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
717 MEADE ST, SUITE 100, RAPID CITY, SD 57701-5103
(605) 341-5910
Mailing address
717 MEADE ST, SUITE 100, RAPID CITY, SD 57701-5103
(605) 341-5910
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9107
SD
Other
Enumeration date
04/01/2010
Last updated
01/14/2015
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