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Pure Medical Aesthetics

Clinic/Center, Multi-Specialty in Rapid City, SD. Organization (NPI-2).

NPI number1144707472
StatusActive
Last updated in NPPESJul 19, 2018

Details

NPI
1144707472
Entity type
Organization (NPI-2)
Legal business name
Pure Medical Aesthetics
Organization subpart
No
Enumeration date
Jul 19, 2018
Last updated
Jul 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes

Practice location

525 Kansas City St
Rapid City, SD 57701-3673

Phone 605-415-4448

Mailing address

525 Kansas City St
Rapid City, SD 57701-3673

Authorized official

Heidi Glood
Owner
6057865213

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