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STEPHEN G.J. ECKRICH MD

Physicians Orthopaedic Surgery

Provider NPI: 1114907797

Provider Information:
 STEPHEN G.J. ECKRICH MD
Gender: M
Not Sole Proprietor

Practice Location:
7220 S HIGHWAY 16  RAPID CITY, SD 57702-8708 US
Tel: 605-341-1414  Fax: 605-341-7062

Business Mailing Address:
7220 S HIGHWAY 16 PO BOX 6850 RAPID CITY, SD 57702-8708 US
Tel: 605-341-1414  Fax: 605-341-7062

NPI Information:
NPI: 1114907797
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207X00000XPhysicians
Orthopaedic Surgery
SD3971

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE RAILROAD PTAN20002445001
CIGNA MEDICARE1254560001SD01
6400710SD05



American Medical Association 2012 taxonomy code information

Code: 207X00000X

Type:

Classification:



Definition:



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