Organization
PERFORMANCE RESPIRATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL O ERICKSON (CEO)
(605) 342-7004
Entity
Organization
Contact information
Practice address
2255 HAINES AVE, STE 204, RAPID CITY, SD 57701-0404
(605) 342-7004
(605) 342-7032
Mailing address
2255 HAINES AVE, STE 204, RAPID CITY, SD 57701-0404
(605) 342-7004
(605) 342-7032
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902247083
—
SD
Enumeration date
07/17/2013
Last updated
05/08/2014
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