Individual
MR. DAVID H ROLLASON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
118 N MAIN ST, ISABEL, SD 57633-0097
(605) 466-2120
(605) 466-2190
Mailing address
PO BOX 97, ISABEL, SD 57633-0097
(605) 466-2120
(605) 466-2190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0106
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02407
MED B
SD
05
—
5350090
—
SD
Enumeration date
03/10/2006
Last updated
10/21/2011
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