Organization
RENEW MEDICAL AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH RODOLPH CNP (OWNER)
(605) 431-4397
Entity
Organization
Contact information
Practice address
5565 BENDT DR STE 404, RAPID CITY, SD 57702-6805
(605) 608-2785
Mailing address
5565 BENDT DR STE 404, RAPID CITY, SD 57702-6805
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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