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Individual

ALLEN NORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
717 SAINT FRANCIS ST, RAPID CITY, SD 57701-4677
(605) 342-2880
(605) 388-4621
Mailing address
PO BOX 6020, RAPID CITY, SD 57709-6020
(605) 342-3280
(605) 721-8438

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2528
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0008011
BCBS
SD
01
080169993
RR MEDICARE
SD
05
5600576
SD
Enumeration date
06/08/2006
Last updated
10/01/2013
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