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1305 W 18th St Sioux Falls SD 57105-0401 | |
(605) 328-8700 | |
(605) 328-8701 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 1305 W 18th St, Sioux Falls, South Dakota |
Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
Authorized Official Contact | 6053288380 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | 1305 W 18th St Sioux Falls SD 57105-0401 Ph: (605) 328-8700 |
NPI Number | 1578589677 |
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Provider Enumeration Date | 07/14/2006 |
Last Update Date | 11/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578589677 | NPI | - | NPPES |
0537886 | Medicaid | IA | |
281988100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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