Individual
JACK ROBERT SCHLEIFFARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4940 5TH ST STE 2B, RAPID CITY, SD 57701-6026
(605) 791-0602
(605) 791-0978
Mailing address
4940 5TH ST STE 2B, RAPID CITY, SD 57701-6026
(605) 791-0602
(605) 791-0978
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9104
SD
Other
Enumeration date
06/29/2007
Last updated
02/06/2019
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