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ROBERT SAGE M.D.

Physicians Dermatology MOHS-Micrographic Surgery

Provider NPI: 1861684748

Provider Information:
 ROBERT  SAGE M.D.
Gender: M
Not Sole Proprietor

Practice Location:
2820 MOUNT RUSHMORE RD  RAPID CITY, SD 57701-5462 US
Tel: 605-342-3280  Fax: 605-721-8458

Business Mailing Address:
PO BOX 6020  RAPID CITY, SD 57709-6020 US
Tel: 605-342-3280  Fax: 605-721-8458

NPI Information:
NPI: 1861684748
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207ND0101XPhysicians
Dermatology
MOHS-Micrographic Surgery
SD8156
Y207N00000XPhysicians
Dermatology
SD8156
N207NS0135XPhysicians
Dermatology
SD8156

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207N00000X

Type:

Classification:



Definition:



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