Individual provider · Type 1 NPI
Jacob Lewis Hemenway, PAC
Surgical Physician Assistant · Rapid City, SD
NPI number
1982123725
Active
Practice location
7220 Mount Rushmore Rd
Rapid City, SD 57702-8754
Fax (605) 341-7062
Mailing address
PO Box 6850
Rapid City, SD 57709-6850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1982123725
Jacob Lewis Hemenway, PAC's National Provider Identifier is 1982123725, issued on Sep 13, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rapid City, SD. The record was last updated on Jul 16, 2024.