TIMOTHY JAMES AYLWARD

RAPID CITY, SD
NPI1598060170
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  1030)
Enumeration Date2011-01-13
Last Update Date2016-07-14
Business Address
-- TIMOTHY JAMES AYLWARD PAC
1303 N LACROSSE ST
RAPID CITY, SD 57701-6956
Phone number: 605-755-2273
Mailing Address
-- TIMOTHY JAMES AYLWARD PAC
353 FAIRMONT BLVD ATTN: MSS
RAPID CITY, SD 57701-7350
Phone number:
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