MATTHEW GROSS

RAPID CITY, SD
NPI1154847481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SD  CP001253)
Enumeration Date2017-08-17
Last Update Date2018-03-17
Business Address
Mr. MATTHEW GROSS CNP
4150 5TH ST
RAPID CITY, SD 57701-6022
Phone number: 605-755-4300
Mailing Address
Mr. MATTHEW GROSS CNP
1115 SITKA ST
RAPID CITY, SD 57701-2085
Phone number: