Individual provider · NPI-1

Dr. Tricia Birdwell, M.D.

Family Medicine · Rapid City, SD

NPI number1609974294
StatusActive
Last updated in NPPESMay 28, 2024

Details

NPI
1609974294
Entity type
Individual (NPI-1)
Name
Dr. Tricia Birdwell
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 20, 2006
Certification date
May 28, 2024
Last updated
May 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine12858SDYes
207Q00000X Family MedicineM-15867ID
207Q00000X Family MedicineA89563CA

Practice location

1760 Centre St Ste 1
Rapid City, SD 57703-4035

Phone 605-600-2250 · Fax 605-653-1573

Mailing address

1760 Centre St Ste 1
Rapid City, SD 57703-4035

Phone 605-600-2250 · Fax 605-653-1573

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