TYSON KURT LANGE

RAPID CITY, SD
NPI1306334693
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SD  CR000987)
Enumeration Date2018-04-23
Last Update Date2020-07-01
Business Address
TYSON KURT LANGE CRNA
353 FAIRMONT BLVD
RAPID CITY, SD 57701-7375
Phone number: 605-755-8718
Mailing Address
TYSON KURT LANGE CRNA
353 FAIRMONT BLVD
RAPID CITY, SD 57701-7375
Phone number: 605-755-8718