Graduated: 2019
NPI: 1396386637
Practice Locations (2)
BLACK HILLS SURGICAL HOSPITAL LLC
1730 HAINES AVE
RAPID CITY, SD 577010615
6057917788
GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD
3200 CANYON LAKE DR
RAPID CITY, SD 577028114
60535525002356
Source: CMS National Downloadable File, September 2026.