Individual
DR. MELODY JEAN EIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 342-3280
(605) 721-8407
Mailing address
PO BOX 6020, RAPID CITY, SD 57709-6020
(605) 342-3280
(605) 721-8407
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301086487
MI
207N00000X
Dermatology Physician
Primary
7265
SD
Other
Enumeration date
05/21/2007
Last updated
04/08/2016
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