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Individual

RYLAN J JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2805 5TH ST, SUITE 100, RAPID CITY, SD 57701-6003
(605) 719-5700
(605) 719-5701
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
188
SD
213E00000X
Podiatrist
Primary
188
SD

Other

Enumeration date
07/19/2006
Last updated
02/06/2013
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