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5124 S Western Ave Suite 4 Sioux Falls SD 57108-5047 | |
| (605) 274-3898 | |
| (605) 274-3899 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 5124 S Western Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Denton Combs (CNP) |
| Authorized Official Contact | 6052310403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5124 S Western Ave Suite 4 Sioux Falls SD 57108-5047 Ph: (605) 274-3898 | 5124 S Western Ave Suite 4 Sioux Falls SD 57108-5047 Ph: (605) 274-3898 |
| NPI Number | 1093077992 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 06/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093077992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (South Dakota) | Primary |
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