Travis J Ptacek MD Pllc
NPI #1265113260 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1265113260
- Entity Type
- Organization
- Organization Name
- Travis J Ptacek MD Pllc
- Primary Specialty
- Family Medicine - Geriatric Medicine
- Enumeration Date
- Jul 31, 2023
- Last Updated
- Oct 16, 2024
Practice Location
- Address
- 529 KANSAS CITY ST STE 203
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57701-3693
- Phone
- (605) 223-0011
Authorized Official
- Name
- TRAVIS PTACEK, M.D.
- Title
- PHYSICIAN
- Phone
- (605) 223-0011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
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