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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JONATHAN DEAN MEDECK, PA-C

Active

MR. JONATHAN DEAN MEDECK, PA-C is a Physician Assistant healthcare provider located in RAPID CITY, South Dakota. NPI 1467426387 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · RAPID CITY, SD

Registration Details

NPI Number
1467426387
Provider Type
Individual
Gender
Male
NPI Issued
Feb 15, 2006 (20.450085959463 yrs)
Last Updated
Mar 2, 2018
Licenses
0361 (SD)
0361 (SD)

Practice Information

Address
710 SAINT ANNE STREET
RAPID CITY, SD, 577014670
Browse SD providers · Browse ZIP 57701
Phone
6053438000
Fax
6053438262
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in RAPID CITY, SD

Name Credential NPI
MR. ROBERT VANDEVENTER PA-C 1023005626
WENDY PETERSON PA 1891786166
MICHAEL D WESTERBUHR PA-C 1114900453
MICHAEL J AANDERUD PA-C 1265412878
DANIEL SCOTT PALMER PA-C 1295705465
BOBBI L LANGBEHN PA-C 1851364665
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.