Individual
ELMO J ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2805 5TH ST, SUITE 100, RAPID CITY, SD 57701
(605) 719-5700
(605) 719-5701
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
(605) 719-7109
(605) 719-1027
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2375
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2375
DAKOTACARE
SD
01
—
4993467
WELLMARK
SD
05
—
6000633
—
SD
01
—
P00368653
RR MEDICARE
SD
Enumeration date
06/28/2006
Last updated
08/04/2011
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