| |
1200 S 7th Ave Suite 2 Sioux Falls SD 57105-0900 | |
(605) 782-8307 | |
(605) 782-8322 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1200 S 7th Ave, Sioux Falls, South Dakota |
Authorized Official Name and Position | Julie N Norton (VP/CFO) |
Authorized Official Contact | 6053226375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 5045 Attn: Provider Enrollment Sioux Falls SD 57117-5045 Ph: (605) 322-6400 | 1200 S 7th Ave Suite 2 Sioux Falls SD 57105-0900 Ph: (605) 782-8307 |
NPI Number | 1114246576 |
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Provider Enumeration Date | 05/25/2010 |
Last Update Date | 07/20/2010 |
Identifier | Type | State | Issuer |
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1114246576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | 10563 (South Dakota) | Primary |
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