Southern Hills Family Medicine, Prof LLC

NPI #1457013963 in Custer, South Dakota

Provider Information

NPI Number
1457013963
Entity Type
Organization
Organization Name
Southern Hills Family Medicine, Prof LLC
Primary Specialty
Family Medicine
Enumeration Date
Oct 12, 2021
Last Updated
Sep 7, 2023

Practice Location

Address
1369 MONTGOMERY ST
City
Custer
ZIP Code
57730-8246
Phone
(605) 673-3900

Authorized Official

Name
BRANDYN A TARAP, MD
Title
SOLE MEMBER
Phone
(605) 673-3900

Specialties & Taxonomy Codes

Specialty
Family Medicine

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