Individual
MS. DIANA BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N 5TH ST, HOT SPRINGS, SD 57747-1480
(605) 745-2000
(605) 745-2832
Mailing address
500 N 5TH ST, HOT SPRINGS, SD 57747-1480
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0313
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5307030
—
SD
Enumeration date
08/24/2006
Last updated
03/25/2008
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