NPI 1063808335

Leslie Adajar van Dyne, MD

Practitioner Trauma Surgery Physician Rapid City, SD

Practice location

Address: 353 Fairmont Blvd, Rapid City, SD 57701-7375
Phone: (605) 755-1000

Registered specialties (2)

Trauma Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0127X Licence 13724 (SD)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1063808335
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2015
Record last updated: 6 Oct 2022

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.