Organization
BLACK HILLS ULTRASOUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE DENISE MOLLMAN (VICE PRESIDENT)
(605) 716-6506
Entity
Organization
Contact information
Practice address
7170 BRIGHTON ST, SUMMERSET, SD 57718-9847
(605) 716-6506
(605) 718-9658
Mailing address
PO BOX 317, BLACK HAWK, SD 57718-0317
(605) 716-6506
(605) 718-9658
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/25/2009
Last updated
09/20/2010
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