Graduated: 2018
NPI: 1437610656
Practice Locations (2)
LEGACY MEDICAL LLC
540 FALCON CREST DR
SPEARFISH, SD 577833252
7015164637
LEGACY PRIMARY CARE PLLC
540 FALCON CREST DR
SPEARFISH, SD 577833252
7015164637
Source: CMS National Downloadable File, September 2026.