Sam L Mortimer, M.D.

NPI #1033134135 in Rapid City, South Dakota

Provider Information

NPI Number: 1033134135
Entity Type: Individual
Name: Sam L Mortimer, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jul 12, 2006
Last Updated: Jan 31, 2012

Practice Location

Address: 2905 5TH ST
City: Rapid City
State: South Dakota
ZIP Code: 57701-7316
Phone: (605) 341-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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