NPI 1013010974

West River Dermatology, PC

Organisation MOHS-Micrographic Surgery Physician Rapid City, SD

Practice location

Address: 717 Meade St Suite 100, Rapid City, SD 57701-5100
Phone: (605) 341-5910
Fax: (605) 341-9052

Authorised official

Name: Roger S Knutsen
Title: President
Phone: (605) 341-5910

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 0266 (SD)

Other Dermatology providers in South Dakota →

Registry record

NPI: 1013010974
Entity type: Organization
NPI issued: 6 Sep 2006
Record last updated: 11 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.