| Specialty Clinic Of Sioux City, Llc | |
|
400 Bayhill Cir Dakota Dunes SD 57049-5092 | |
| (605) 553-6458 | |
| Not Available |
| Full Name | Specialty Clinic Of Sioux City, Llc |
|---|---|
| Speciality | General Practice |
| Location | 400 Bayhill Cir, Dakota Dunes, South Dakota |
| Authorized Official Name and Position | Trae Bergh (MANAGER) |
| Authorized Official Contact | 6055536458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Clinic Of Sioux City, Llc 166 Saddlebrook Ct North Sioux City SD 57049-5443 Ph: (605) 553-6458 | Specialty Clinic Of Sioux City, Llc 400 Bayhill Cir Dakota Dunes SD 57049-5092 Ph: (605) 553-6458 |
| NPI Number | 1023878915 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023878915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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