IndividualActive
Nathan Jaqua, M.D.
NPI 1376863738 · Gastroenterology Physician · Rapid City, SD
Provider details
- NPI number
- 1376863738
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 11149 (SD)
Practice location
2820 Mount Rushmore Rd
Rapid City, SD 57701-5462
Phone: (605) 342-3280
Mailing address
Po Box 6020
Rapid City, SD 57709-6020
Registry dates
- Enumerated
- 2010-06-08
- Last updated
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.