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Organization

GREAT PLAINS GERIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEN RODARTE (CREDENTIALING/BILLING MANAGER)
(720) 281-6172
Entity
Organization

Contact information

Practice address
135 PONDEROSA AVE, HILL CITY, SD 57745-6057
(612) 987-1090
Mailing address
135 PONDEROSA AVE, HILL CITY, SD 57745-6057
(612) 987-1090

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
12/03/2020
Last updated
03/01/2023
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