Individual
ASHLEY ANZIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2805 5TH ST, RAPID CITY, SD 57701-7306
(605) 755-5700
Mailing address
2805 5TH ST, RAPID CITY, SD 57701-6003
(605) 755-5753
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0910
SD
Other
Enumeration date
02/19/2014
Last updated
03/26/2018
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