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Individual

GREG TERRASAS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
216 ANAMARIA DR, RAPID CITY, SD 57701-7366
(605) 721-0337
(605) 721-0043
Mailing address
3911 CITY VIEW DR, RAPID CITY, SD 57701-2367
(605) 721-7447

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4703
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5700880
SD
Enumeration date
09/12/2005
Last updated
07/08/2007
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