Individual
ANITA MARIE COMEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PBT
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2228
(605) 355-2514
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2228
(605) 355-2514
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
PBT 25080
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140070
—
SD
01
—
5549050
MEDICAID
SD
Enumeration date
02/11/2010
Last updated
02/11/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us