Wanda Jean Dally in Wagner - Medical Technologist
Wanda Jean Dally - NPI 1740497775
Wanda Jean Dally is a Medical Technologist in Wagner, South Dakota. Wanda Jean Dally practices all healthcare services and medical treatments related to Medical Technologist. The NPI Number for Wanda Jean Dally is 1740497775. The last update date is 2007-07-09.
Wanda Jean Dally's current location address is 111 Washington Ave Nw, Wagner, South Dakota. You can contact this provider via phone number 6053843621 and fax number 6053843293. The mailing address for Wanda Jean Dally is 111 Washington Ave Nw, Wagner, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda Jean Dally |
|---|---|
| Address | 111 Washington Ave Nw, Wagner, South Dakota |
| Phone Number | 6053843621 |
| Fax Number | 6053843293 |
| Sole Proprietor | N |
| Credentials | MT |
NPI Number Detail
| NPI Number | 1740497775 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 111 Washington Ave Nw |
|---|---|
| City | Wagner |
| State | South Dakota (SD) |
| Post Code | 57380 |
| Phone Number | 6053843621 |
| Fax Number | 6053843293 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Technologist |
|---|---|
| Taxonomy | 246Qm0706X |
| Licence No | 185598 |
|
Definition: Performs complex lab tests that analyze body fluids, cells and substances to detect abnormalities and support diagnosis. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5540100 | SD | -- | |
| 5540030 | SD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wanda Jean Dally by the Centers for Medicare & Medicaid Services (CMS)?
The Wanda Jean Dally has been assigned the NPI (National Provider Identifier) 1740497775. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Wanda Jean Dally's facilities are geographically located?
The facilities of Wanda Jean Dally are physically situated at the following location: 111 Washington Ave Nw, Wagner, SD, 57380.
What is the Wanda Jean Dally's specialty and taxonomy code?
The Wanda Jean Dally's specialty is Medical Technologist, and the corresponding taxonomy code is 246Qm0706X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740497775 to Wanda Jean Dally?
The Centers for Medicare & Medicaid Services originally issued the 1740497775 to Wanda Jean Dally on 2007-05-17.
As of what date were the details pertaining to Wanda Jean Dally last refreshed?
The information related to the Wanda Jean Dally, including its address, specialty, and other relevant details, was last updated on 2007-07-09.