Obgyn Specialty Clinic PC
Obstetrics & Gynecology in Sioux Falls, SD. Organization (NPI-2).
NPI number1760664502
StatusActive
Last updated in NPPESApr 11, 2011
Details
- NPI
- 1760664502
- Entity type
- Organization (NPI-2)
- Legal business name
- Obgyn Specialty Clinic PC
- Organization subpart
- No
- Enumeration date
- Dec 4, 2007
- Last updated
- Apr 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 3478 | SD | Yes |
Practice location
625 W 18th StSioux Falls, SD 57105
Phone 605-338-0836 · Fax 605-338-7890
Mailing address
625 W 18th StSioux Falls, SD 57105
Phone 605-338-0836 · Fax 605-338-7890
Authorized official
Elizabeth Dimitrievich
President
6053380836
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