MIKAELA THEOBALD, PA-C
Physician Assistant
Active
Individual
NPI: 1124627898
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1124627898 is the National Provider Identifier for MIKAELA THEOBALD, PA-C, a Physician Assistant provider located in Rapid City, SD. This NPI was enumerated on October 22, 2020.
MIKAELA THEOBALD, PA-C practices at 353 FAIRMONT BLVD, Rapid City, SD 57701.
Quick Facts
- NPI
- 1124627898
- Type
- Individual
- Enumerated
- Oct 22, 2020
- Last Updated
- Jun 29, 2023
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