Provider Demographics
NPI:1508999822
Name:ASSOCIATES IN PLASTIC & RECONSTRUCTIVE SURGERY INC
Entity Type:Organization
Organization Name:ASSOCIATES IN PLASTIC & RECONSTRUCTIVE SURGERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLASTIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:CARVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:1605-343-0495
Mailing Address - Street 1:7236 JORDAN DR
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-8734
Mailing Address - Country:US
Mailing Address - Phone:605-343-0495
Mailing Address - Fax:
Practice Address - Street 1:7236 JORDAN DR
Practice Address - Street 2:SUITE 100A
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-8734
Practice Address - Country:US
Practice Address - Phone:605-343-0495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD3560208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty