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NPI Code Detail

MEDICARE: SARA PALMER PA-C

MEDICARE: SARA PALMER PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1164120895
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA PALMER PA-C
Provider Business Mailing Address
First Line : 1730 HAINES AVE
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-0615
Country : US
Telephone Number : 605-791-7729
Fax Number : 888-388-1327
Provider Business Practice Location Address
First Line : 1730 HAINES AVE
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-0615
Country : US
Telephone Number : 605-791-7729
Fax Number : 888-388-1327
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2023
Last Update Date : 02/19/2026

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