NPI 1346389178

Advanced Dermatology Center, PC

Organisation Dermatology Physician Rapid City, SD

Practice location

Address: 710 Saint Anne Street, Rapid City, SD 57701
Phone: (605) 343-8000
Fax: (605) 343-8262
Mailing address: PO Box 3468, Rapid City, SD 57709-3468

Authorised official

Name: Sheila Oday Boddicker
Title: Office Manager
Phone: (605) 343-8000

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 0329 (SD)

Other Dermatology providers in South Dakota →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Registry record

NPI: 1346389178
Entity type: Organization
NPI issued: 6 Feb 2007
Record last updated: 13 Feb 2018

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.