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6215 South Cliff Avenue Sioux Falls SD 57108-8589 | |
(605) 322-3300 | |
(605) 322-3301 |
Full Name | |
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Speciality | Family Medicine |
Location | 6215 South Cliff Avenue, Sioux Falls, South Dakota |
Authorized Official Name and Position | Julie Norton (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 86430 Sioux Falls SD 57118-6430 Ph: (605) 322-4901 | 6215 South Cliff Avenue Sioux Falls SD 57108-8589 Ph: (605) 322-3300 |
NPI Number | 1144635863 |
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Provider Enumeration Date | 06/23/2014 |
Last Update Date | 06/23/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144635863 | NPI | - | NPPES |
100716 | Other | SD | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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