OrganizationActive
West River Dermatology, PC
NPI 1013010974 · MOHS-Micrographic Surgery Physician · Rapid City, SD
Provider details
- NPI number
- 1013010974
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roger Knutsen, President(605) 341-5910
- License
- 0266 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
717 Meade St
Suite 100
Rapid City, SD 57701-5100
Phone: (605) 341-5910
Fax: (605) 341-9052
Approximate (ZIP-level) locationGet directions
Mailing address
717 Meade St
Rapid City, SD 57701-5100
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2008-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.