Individual
ELIZABETH MERCURIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 5TH ST, RAPID CITY, SD 57701-7316
(605) 341-7337
Mailing address
3741 CITY VIEW DR, RAPID CITY, SD 57701-2362
(330) 741-0550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1082
SD
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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