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Contact Information

JOHN C ZIMBARDO
2805 5TH ST
RAPID CITY, SD57701-6003
 Phone: 605-755-5700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JOHN C ZIMBARDO · (Male)

NPI Number 1790332245
Status Active
Credentials
Entity Individual
Enumeration date 08/20/2019
Last updated 11/29/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • SD License # 1308
Hospital affiliation(s)
  • RAPID CITY REGIONAL HOSPITAL - (Acute Care)
    353 FAIRMONT BLVD POST OFFICE BOX 6000
    RAPID CITY, SD 57701
  • SPEARFISH REGIONAL HOSPITAL - (Acute Care)
    1440 N MAIN ST
    SPEARFISH, SD 57783
  • STURGIS REGIONAL HOSPITAL - (Critical Access)
    949 HARMON STREET
    STURGIS, SD 57785
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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