NPI 1023005626

Robert Vandeventer, PAC

Practitioner Physician Assistant Rapid City, SD

Practice location

Address: 408 Knollwood Drive, Rapid City, SD 57701
Phone: (605) 755-2273
Mailing address: 353 Fairmont Blvd Atten Christie Mss, Rapid City, SD 57701-7350

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0303 (SD)

Other Physician Assistant providers in South Dakota →

Registry record

NPI: 1023005626
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2005
Record last updated: 5 Sep 2013

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.