Prairie View Medical, Prof. LLC
NPI #1508635772 in Brookings, South Dakota
Provider Information
- NPI Number
- 1508635772
- Entity Type
- Organization
- Organization Name
- Prairie View Medical, Prof. LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 28, 2023
- Last Updated
- Apr 17, 2024
Practice Location
- Address
- 3405 6TH ST STE 5
- City
- Brookings
- State
- South Dakota
- ZIP Code
- 57006-4401
- Phone
- (605) 695-6712
Authorized Official
- Name
- DR. JENNIFER OLSON, MD
- Title
- PRESIDENT/CEO
- Phone
- (605) 693-7862
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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