| |
2200 E Benson Rd Sioux Falls SD 57104-7023 | |
(605) 977-4380 | |
(605) 977-4311 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 2200 E Benson Rd, Sioux Falls, South Dakota |
Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Brentwood TN 37027-4948 Ph: (605) 977-4380 | 2200 E Benson Rd Sioux Falls SD 57104-7023 Ph: (605) 977-4380 |
NPI Number | 1811381817 |
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Provider Enumeration Date | 03/27/2015 |
Last Update Date | 10/13/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811381817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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