NPI 1033134135

Sam L Mortimer, MD

Practitioner Pediatrics Physician Rapid City, SD

Practice location

Address: 2905 5th St, Rapid City, SD 57701-7316
Phone: (605) 341-7337
Fax: (605) 341-2447

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 2119 (SD)

Other Pediatrics providers in South Dakota →

Registry record

NPI: 1033134135
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2006
Record last updated: 31 Jan 2012

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.