Organization
PLASTIC SURGICAL CENTER OF RAPID CITY, PROF. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JAMES SCHUTZ M.D. (MD/MEDICAL DIRECTOR)
(605) 343-6714
Entity
Organization
Contact information
Practice address
3615 5TH ST, SUITE 100, RAPID CITY, SD 57701-6014
(605) 343-6714
(605) 343-2130
Mailing address
3615 5TH ST, SUITE 100, RAPID CITY, SD 57701-6014
(605) 343-6714
(605) 343-2130
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
11152
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81014
WELLMARK BCBS #
SD
Enumeration date
11/29/2005
Last updated
04/30/2013
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