ERIC EIDEM

RAPID CITY, SD
NPI1174633614
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  0486)
Enumeration Date2006-08-30
Last Update Date2017-03-01
Business Address
-- ERIC EIDEM PA-C
7220 S HIGHWAY 16
RAPID CITY, SD 57702-8708
Phone number: 605-341-1414
Mailing Address
-- ERIC EIDEM PA-C
7220 S HIGHWAY 16
RAPID CITY, SD 57702-8708
Phone number: 605-341-1414
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