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1174633614
ERIC EIDEM
RAPID CITY, SD
NPI
1174633614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SD 0486)
Enumeration Date
2006-08-30
Last Update Date
2017-03-01
Business Address
-- ERIC EIDEM PA-C
7220 S HIGHWAY 16
RAPID CITY, SD 57702-8708
Phone number: 605-341-1414
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Mailing Address
-- ERIC EIDEM PA-C
7220 S HIGHWAY 16
RAPID CITY, SD 57702-8708
Phone number: 605-341-1414
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