SAM L MORTIMER

RAPID CITY, SD
NPI1033134135
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: SD  2119)
Enumeration Date2006-07-12
Last Update Date2012-01-31
Business Address
-- SAM L MORTIMER M.D.
2905 5TH ST
RAPID CITY, SD 57701-7316
Phone number: 605-341-7337
Mailing Address
-- SAM L MORTIMER M.D.
2905 5TH ST
RAPID CITY, SD 57701-7316
Phone number: 605-341-7337
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