is a Orthopedic in Pierre, South Dakota. practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for is 1578613410. The last update date is .
's current location address is 110 W Dakota Ave, Pierre, South Dakota. You can contact this provider via phone number 6052241629. The mailing address for is 110 W Dakota Ave, Pierre, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 110 W Dakota Ave, Pierre, South Dakota |
| Phone Number | 6052241629 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1578613410 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 110 W Dakota Ave |
|---|---|
| City | Pierre |
| State | South Dakota (SD) |
| Post Code | 575012413 |
| Phone Number | 6052241629 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 111Nx0800X |
| Licence No | 631 |
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Definition: Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, mu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 86506 | SD | BLUE CROSS BLUE SHIELD ID |
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