Rapid City Plastic Surgery PLLC

Organization Active NPI Plastic and Reconstructive Surgery Physician · Rapid City, SD

NPI 1558085241 · NPPES record last updated Sep 27, 2022

Key facts

NPI
1558085241
Entity type
Organization (NPI type 2)
Primary specialty
Plastic and Reconstructive Surgery Physician 2086S0122X
Legal business name
RAPID CITY PLASTIC SURGERY PLLC
Practice address
3615 5TH St Ste 101
Rapid City, SD 57701-7360
Phone
(605) 343-7208
Fax
(605) 343-7132
NPI assigned
Sep 27, 2022
Organization subpart
No

Authorized official

Name
Dr. Mary C Snyder, MD
Title
Partner
Phone
(605) 343-7208

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2086S0122X Yes

Addresses

Primary practice location

3615 5TH St Ste 101
Rapid City, SD 57701-7360

Mailing address

3615 5TH St Ste 101
Rapid City, SD 57701-7360
Phone (605) 343-7208

Other names

  • Black Hills Plastic Surgery Doing business as

Other providers in Rapid City, SD

All providers in Rapid City, SD · Plastic and Reconstructive Surgery Physician in South Dakota

Sources for this page

Verify at the official NPI Registry.