Individual
ROBERT DEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Contact information
Practice address
502 E MONROE ST, RAPID CITY, SD 57701-1400
(605) 755-4060
Mailing address
502 E MONROE ST, RAPID CITY, SD 57701-1400
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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