Individual
CRYSTAL PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
209 RAMSLAND, BUFFALO, SD 57720-9000
(605) 375-3744
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
0663
SD
Other
Enumeration date
06/03/2006
Last updated
01/24/2013
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