NPI 1689831091

Black Hills Dermatology PC

Organisation Dermatology Physician Spearfish, SD

Practice location

Address: 132 E Grant St, Spearfish, SD 57783-2424
Phone: (605) 722-9090
Fax: (605) 722-9909
Mailing address: PO Box 6540 7236 Jordan Drive STE 101, 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: 1689831091
Entity type: Organization
NPI issued: 22 May 2008
Record last updated: 30 Jan 2015

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.