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NPI Code Detail

MEDICARE: NEURO SURGICAL & SPINAL SURGERY ASSOCIATES, P.C.

MEDICARE: NEURO SURGICAL & SPINAL SURGERY ASSOCIATES, 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
12084N0400XNeurology Physician0256SD
2225100000XPhysical Therapist0256SD
3363AS0400XSurgical Physician Assistant0256SD
4207T00000XNeurological Surgery Physician0256SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10002707OTHERSDBCBS GROUP NUMBER
200649001OTHERWYWY BCBS GROUP NUMBER
305788001OTHERNDND BCBS GROUP NUMBER

General Provider Information

NPI Number : 1538128491
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEURO SURGICAL & SPINAL SURGERY ASSOCIATES, P.C.
Provider Business Mailing Address
First Line : 4141 5TH ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6021
Country : US
Telephone Number : 605-341-2424
Fax Number : 605-341-4547
Provider Business Practice Location Address
First Line : 4141 5TH ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6021
Country : US
Telephone Number : 605-341-2424
Fax Number : 605-341-4547
Authorized Official
Title or Position : PRESIDENT
Name : STUART G RICE
Credential : M.D.
Telephone Number : 605-341-2424
Provider Enumeration Date : 03/20/2006
Last Update Date : 02/19/2020

Similar Medicare Providers

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Practice Location Address:
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1891776456 — DR. BRYAN J WELLMAN MD
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1033188594 — STUART GLEN RICE M.D.
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1144299371 — GEOFFREY P BONAR R.P.T.
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1265491195 — ROBERT D MACLACHLAN M.D.
Practice Location Address:
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1982663555 — NANCY L BUSCHING R.P.T.
Practice Location Address:
4141 5TH ST
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Practice Fax: 605-399-9584

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