Individual
MIRANDA WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7220 MOUNT RUSHMORE RD, RAPID CITY, SD 57702-8754
(605) 341-1414
(605) 341-7062
Mailing address
PO BOX 6850, RAPID CITY, SD 57709-6850
(605) 341-7062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1387
SD
Other
Enumeration date
07/12/2022
Last updated
07/22/2024
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