Individual
MS. DEBRA M MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT ( R)(M)
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2232
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
254481
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140070
—
SD
05
—
5549050
—
SD
Enumeration date
04/29/2010
Last updated
04/29/2010
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