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NPI Code Detail

MEDICARE: STEPHEN C PARYS MD

MEDICARE: STEPHEN C PARYS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician5182SD

General Provider Information

NPI Number : 1720010952
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN C PARYS MD
Provider Business Mailing Address
First Line : 353 FAIRMONT BLVD
Second Line : ATTEN MSS
City : RAPID CITY
State : SD
Zip : 57701-7350
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1445 NORTH AVE
Second Line :
City : SPEARFISH
State : SD
Zip : 57783-1552
Country : US
Telephone Number : 605-644-4170
Fax Number : 605-644-4198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 12/17/2013

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