Ross Dean Little Dog

NPI #1871824730 in Rapid City, South Dakota

Provider Information

NPI Number: 1871824730
Entity Type: Individual
Name: Ross Dean Little Dog
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jan 15, 2010
Last Updated: Jan 15, 2010

Practice Location

Address: 3200 CANYON LAKE DR
City: Rapid City
State: South Dakota
ZIP Code: 57702-8114
Phone: (605) 355-2213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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