Individual
SARA GOTTLOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1420 N 10TH ST, SPEARFISH, SD 57783-1532
(605) 642-8414
(605) 642-8618
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000397
SD
363L00000X
Nurse Practitioner
R029620
SD
Other
Enumeration date
02/13/2006
Last updated
02/06/2013
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