MIKAELA THEOBALD

RAPID CITY, SD
NPI1124627898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-10-22
Last Update Date2023-06-29
Business Address
MIKAELA THEOBALD PA-C
353 FAIRMONT BLVD
RAPID CITY, SD 57701-7375
Phone number: 605-755-1000
Mailing Address
MIKAELA THEOBALD PA-C
353 FAIRMONT BLVD
RAPID CITY, SD 57701-7375
Phone number: 605-755-1000