Yankton Urological Surgery Llc in Yankton - Urology
Yankton Urological Surgery Llc - NPI 1689779068
Yankton Urological Surgery Llc is a Urology in Yankton, South Dakota. Yankton Urological Surgery Llc practices all healthcare services and medical treatments related to Urology. The NPI Number for Yankton Urological Surgery Llc is 1689779068. The last update date is 2012-01-04.
Yankton Urological Surgery Llc's current location address is 2009 Locust St, Yankton, South Dakota. You can contact this provider via phone number 6056891100 and fax number 6056891104. The mailing address for Yankton Urological Surgery Llc is 2009 Locust St, Yankton, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Yankton Urological Surgery Llc |
|---|---|
| Address | 2009 Locust St, Yankton, South Dakota |
| Phone Number | 6056891100 |
| Fax Number | 6056891104 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Boudreau Raymond Joseph |
| Credentials | MD |
| Telephone Number | 6056891100 |
NPI Number Detail
| NPI Number | 1689779068 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2012-01-04 |
Provider Mailing Address Detail
| Address | 2009 Locust St |
|---|---|
| City | Yankton |
| State | South Dakota (SD) |
| Post Code | 570782030 |
| Phone Number | 6056891100 |
| Fax Number | 6056891104 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 4016 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7559 | BCBS |
Post Comment/ Review Below
What is the Yankton Urological Surgery Llc's unique identification number?
The Yankton Urological Surgery Llc has been assigned the NPI (National Provider Identifier) Number 1689779068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Yankton Urological Surgery Llc is physically located?
The Yankton Urological Surgery Llc is situated at the following address: 2009 Locust St, Yankton, SD 570782030.
What is the Yankton Urological Surgery Llc's specialty and taxonomy code?
The Yankton Urological Surgery Llc's specialty is Urology, and the corresponding taxonomy code is 208800000X.
On what date was the 1689779068 assigned to Yankton Urological Surgery Llc?
The Yankton Urological Surgery Llc was issued its 1689779068 on 2006-09-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Yankton Urological Surgery Llc most recently updated or revised?
The information pertaining to Yankton Urological Surgery Llc, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-04.