Rivers Edge Aesthetic Surgery, LLC
NPI #1285936641 in Sioux Falls, South Dakota
Provider Information
- NPI Number
- 1285936641
- Entity Type
- Organization
- Organization Name
- Rivers Edge Aesthetic Surgery, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 17, 2010
- Last Updated
- Jan 30, 2020
Practice Location
- Address
- 4201 SOUTH MINNESOTA AVENUE
- Address 2
- STE. 111
- City
- Sioux Falls
- State
- South Dakota
- ZIP Code
- 57105-6742
- Phone
- (605) 335-3349
Authorized Official
- Name
- MARVIN E SMOOT
- Title
- DIRECTOR
- Phone
- (605) 335-3349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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