NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1598060170 | AYLWARD | TIMOTHY | JAMES |   | 353 FAIRMONT BLVD | RAPID CITY | SD | 577017350 |
1114242443 | BUTZ | KIRSTEN | A |   | 353 FAIRMONT BLVD | RAPID CITY | SD | 577017350 |
1992242762 | KURNIAWAN | MARY | E |   | 353 FAIRMONT BLVD | RAPID CITY | SD | 577017375 |
1407895113 | MCCAFFERTY | JAMES | D |   | 353 FAIRMONT BLVD | RAPID CITY | SD | 577017350 |
1649423872 | MUNGARA | CHARAN |   |   | 353 FAIRMONT BLVD, MONUMENT HEALTH RAPID CITY HOSPITAL | RAPID CITY | SD | 577017375 |
1730713074 | OHLMACHER | TERESA | OLIVE |   | 216 KIM DR | LAFAYETTE | LA | 705033926 |
1770997173 | PHOMMAHAXAY | KELLY |   |   | 353 FAIRMONT BLVD | RAPID CITY | SD | 577017375 |
1295770568 | RAWSON | DANIEL | Y |   | 353 FAIRMONT BLVD | RAPID CITY | SD | 577017350 |
1184026452 | TURNER-NEWMAN | TECIE | L |   | 353 FAIRMONT BLVD | RAPID CITY | SD | 577017375 |