Organization
CRISMAN DIXON & ASSOCIATES, P.C.
Active
Other names
Back to Health Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE ALVIN CRISMAN D.C. (PRESIDENT)
(605) 718-7312
Entity
Organization
Contact information
Practice address
343 QUINCY ST, SUITE 100, RAPID CITY, SD 57701-3700
(605) 718-7312
(605) 718-9008
Mailing address
343 QUINCY STREET, SUITE 100, RAPID CITY, SD 57701-3700
(605) 718-7312
(605) 718-9008
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
774
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7600534
—
SD
Enumeration date
08/19/2006
Last updated
03/20/2008
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