Individual
JOHN PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2905 5TH ST, RAPID CITY, SD 57701-7350
(605) 341-7337
Mailing address
2905 5TH ST, RAPID CITY, SD 57701-7350
(605) 341-7337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15523
SD
Other
Enumeration date
05/27/2021
Last updated
07/15/2024
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