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NPI Code Detail

MEDICARE: BLACK HILLS PODIATRY

MEDICARE: BLACK HILLS PODIATRY
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
1213ES0103XFoot & Ankle Surgery Podiatrist96-SDSD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275663213
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLACK HILLS PODIATRY
Provider Business Mailing Address
First Line : 904 QUINCY ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-2608
Country : US
Telephone Number : 605-343-3511
Fax Number : 605-343-4449
Provider Business Practice Location Address
First Line : 904 QUINCY ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-2608
Country : US
Telephone Number : 605-343-3511
Fax Number : 605-343-4449
Authorized Official
Title or Position : OWNER
Name : DR. NEIL SKEA
Credential : DPM
Telephone Number : 605-343-3511
Provider Enumeration Date : 03/07/2007
Last Update Date : 10/24/2007

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Directions to “BLACK HILLS PODIATRY ” Practice Location

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