Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 1816 | SD |
NPI | 1003966334 |
---|---|
Provider Name | Steven K Hata |
First Address | Rapid City, SD 57701-6000 |
Second Address | Rapid City, SD 57701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 03/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D25322 | (02) |