State of South Dakota Division of Oasi

NPI #1396768362 in Aberdeen, South Dakota

Provider Information

NPI Number: 1396768362
Entity Type: Organization
Organization Name: State of South Dakota Division of Oasi
Primary Specialty: Pediatrics
Enumeration Date: Jul 25, 2006
Last Updated: Jul 11, 2008

Practice Location

Address: 201 S LLOYD ST
Address 2: PHYSICIAN PLAZA SUITE E202
City: Aberdeen
State: South Dakota
ZIP Code: 57401-4552
Phone: (605) 626-2630

Authorized Official

Name: MS. KARI JEAN WEISBECK
Title: ADMINISTRATOR
Phone: (605) 773-4939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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