Graduated: 2012
NPI: 1477203453
Practice Locations (3)
PO BOX, SUITE 53
Custer, SD 577300053
2650 JACKSON BLVD, SUITE 19A
RAPID CITY, SD 577023474
6053903170
3213 W MAIN ST, SUITE 620
RAPID CITY, SD 577022314
Source: CMS National Downloadable File, September 2026.