TED BROCKETT

RAPID CITY, SD
NPI1760440408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: GA  030436)
Enumeration Date2006-05-03
Last Update Date2007-07-09
Business Address
Dr. TED BROCKETT MD
3200 CANYON LAKE DR
RAPID CITY, SD 57702-8114
Phone number: 605-355-2500
Mailing Address
Dr. TED BROCKETT MD
14420 SILVER MOUNTAIN ROAD
RAPID CITY, SD 57702
Phone number: 605-343-0431
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