MALLORY WIPF

RAPID CITY, SD
NPI1417405416
Former NameMALLORY HOLZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  1057)
Enumeration Date2016-09-19
Last Update Date2021-08-31
Business Address
MALLORY WIPF PA-C
640 FLORMANN ST
RAPID CITY, SD 57701-4679
Phone number: 605-755-3300
Mailing Address
MALLORY WIPF PA-C
640 FLORMANN ST
RAPID CITY, SD 57701-4679
Phone number: 605-755-3300
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