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725 E Figzel Ct Suite 100 Tea SD 57064-2276 | |
(605) 368-9899 | |
Not Available |
Full Name | |
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Speciality | Nurse Practitioner |
Location | 725 E Figzel Ct, Tea, South Dakota |
Authorized Official Name and Position | Ronald J Farr (SR VICE PRESIDENT OF FINANCE) |
Authorized Official Contact | 6053689899 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 90608 Sioux Falls SD 57109-0608 Ph: (605) 782-8313 | 725 E Figzel Ct Suite 100 Tea SD 57064-2276 Ph: (605) 368-9899 |
NPI Number | 1831230408 |
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Provider Enumeration Date | 02/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1831230408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |