NPI 1497727028

Black Hills Dermatology PC

Organisation Dermatology Physician Rapid City, SD

Practice location

Address: 7236 Jordan Drive Suite 101, Rapid City, SD 57702-8740
Phone: (605) 341-5565
Fax: (605) 341-5595
Mailing address: 7236 Jordan Drive Suite 101 PO Box 6540, Rapid City, SD 57709-6540

Authorised official

Name: Jason W Gorman
Title: Administrator
Phone: (605) 341-5565

Registered specialties (4)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 0370 (SD)

Other Dermatology providers in South Dakota →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 0370 (SD)

Dermatopathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence 0370 (SD)

Pediatric Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence 0370 (SD)

Registry record

NPI: 1497727028
Entity type: Organization
NPI issued: 7 Feb 2006
Record last updated: 20 May 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.