Individual
DALE R ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E MINNESOTA ST, SUITE 210, RAPID CITY, SD 57701-7756
(605) 341-1122
(605) 341-2161
Mailing address
101 E MINNESOTA ST, SUITE 210, RAPID CITY, SD 57701-7756
(605) 341-1122
(605) 341-2161
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1668
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009785
BLUE CROSS BLUE SHIELD
SD
05
—
6400420
—
SD
Enumeration date
10/17/2006
Last updated
07/17/2008
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