MICAH T AMOS

BLACK HILLS SURGICAL HOSPITAL, LLP

Dr MICAH T AMOS is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2018.

Contact

BLACK HILLS SURGICAL HOSPITAL, LLP

216 ANAMARIA DR
RAPID CITY
SD
577017366

Tel: 6057214700

MICAH T AMOS Information

Npi 1730684176
Pac Id 0547523110
Professional Enrollment Id I20180830000612
Last Name AMOS
First Name MICAH
Middle Name T
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BLACK HILLS SURGICAL HOSPITAL, LLP
Group Practice Pac Id 5496742835
Number Of Group Practice Members 66
Line 1 Street Address 216 ANAMARIA DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City RAPID CITY
State SD
Zip Code 577017366
Phone Number 6057214700
Hospital Affiliation Ccn 1 430091
Hospital Affiliation Lbn 1 BLACK HILLS SURGICAL HOSPITAL LLP
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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