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NPI Code Detail

MEDICARE: JEFFREY A SCHILD PA-C

MEDICARE:   JEFFREY A SCHILD  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
1363AM0700XMedical Physician Assistant0372SD

General Provider Information

NPI Number : 1427046275
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY A SCHILD PA-C
Provider Business Mailing Address
First Line : 353 FAIRMONT BLVD
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-7350
Country : US
Telephone Number : 605-356-3317
Fax Number :
Provider Business Practice Location Address
First Line : 1420 N 10TH ST
Second Line :
City : SPEARFISH
State : SD
Zip : 57783-1532
Country : US
Telephone Number : 605-717-8595
Fax Number : 605-642-8618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 04/28/2017

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Directions to “ JEFFREY A SCHILD PA-C” Practice Location

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