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NPI Code Detail

MEDICARE: FROMM DERMATOLOGY, P.C.

MEDICARE: FROMM DERMATOLOGY, P.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
1261QM2500XMedical Specialty Clinic/Center8292SD

General Provider Information

NPI Number : 1386062156
Entity Type Code : Organization
Provider Name (Legal Business Name) : FROMM DERMATOLOGY, P.C.
Provider Business Mailing Address
First Line : 4447 S CANYON RD STE 6
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-1889
Country : US
Telephone Number : 605-721-5550
Fax Number : 605-721-5515
Provider Business Practice Location Address
First Line : 4447 S CANYON RD STE 6
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-1889
Country : US
Telephone Number : 605-721-5550
Fax Number : 605-721-5515
Authorized Official
Title or Position : PRESIDENT/CEO
Name : DR. LINDA JO FROMM
Credential : M.D.
Telephone Number : 605-721-5550
Provider Enumeration Date : 03/31/2014
Last Update Date : 03/09/2015

Similar Medicare Providers

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Practice Location Address:
4447 S CANYON RD STE 6
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1124210828 — DR. LINDA JO FROMM M.D.
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1033545082 — MR. CRAIG ALLEN MULLINS M.A., L.P.C.-MH
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4447 S CANYON RD STE 5
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57702-1889
Practice Phone: 605-391-8882
Practice Fax:
1154703817 — MRS. ERICKA L. PRIVITT N.P.
Practice Location Address:
4447 S CANYON RD STE 6
RAPID CITY, SD
57702-1889
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Practice Fax: 605-721-5515
1710331921 — TIFFANY TRASK
Practice Location Address:
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RAPID CITY, SD
57702-1889
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1548804990 — CHELSEY KRISTYN WATSON CNP
Practice Location Address:
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Practice Fax: 605-721-5515

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