Sanford School of Medicine of the University of South Dakota Clinical

NPI #1275750580 in Rapid City, South Dakota

Provider Information

NPI Number
1275750580
Entity Type
Organization
Organization Name
Sanford School of Medicine of the University of South Dakota Clinical
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Apr 19, 2007
Last Updated
Oct 4, 2007

Practice Location

Address
353 FAIRMONT BLVD
ZIP Code
57701-7375
Phone
(605) 394-5143

Authorized Official

Name
DR. MICHAEL R KOCH, M. D.
Title
DEPT. CHAIR
Phone
(605) 336-3230

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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