Organization
CASCADE INTEGRATIVE MEDICINE OF SOUTH DAKOTA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD VERN PETERSON PHYS. ASST. (PRESIDENT)
(605) 745-5102
Entity
Organization
Contact information
Practice address
1501 HIGHWAY 18 BYP, HOT SPRINGS, SD 57747-9600
(605) 745-5102
(605) 745-6707
Mailing address
1501 HIGHWAY 18 BYP, HOT SPRINGS, SD 57747-9600
(605) 745-5102
(605) 745-6707
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0177
SD
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/25/2007
Last updated
05/27/2008
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