Individual
RYAN BRUCKER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 ELK ST, RAPID CITY, SD 57701-7351
(160) 534-3726
(160) 534-2369
Mailing address
111 NORTH ST, RAPID CITY, SD 57701-1163
(160) 534-3065
(160) 534-2726
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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