Organization
WEST RIVER EAR NOSE AND THROAT, PROF., L.L.C.
Active
Organization
WEST RIVER EAR NOSE AND THROAT, PROF., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK R SCHLEIFFARTH M.D. (MEMBER-MANAGER)
(605) 791-0602
Entity
Organization
Contact information
Practice address
4940 5TH ST STE 2B, RAPID CITY, SD 57701-6026
(605) 791-0602
(605) 791-0978
Mailing address
4940 5TH ST STE 2B, RAPID CITY, SD 57701-6026
(605) 791-0602
(605) 791-0978
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0566
SD
231H00000X
Audiologist
—
—
Other
Enumeration date
08/28/2018
Last updated
02/06/2019
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