Organization
WEST RIVER PHYSICIANS ALLIANCE, LLC
Active
Other names
West River Physicians Alliance, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY J ARCHER M.D. (CHIEF MEDICAL OFFICER, CS EXECUTIVE)
(605) 755-7118
Entity
Organization
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-7649
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-7649
(605) 755-0707
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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