The Evangelical Lutheran Good Samaritan Society

NPI #1952785883 in Sioux Falls, South Dakota

Provider Information

NPI Number
1952785883
Entity Type
Organization
Organization Name
The Evangelical Lutheran Good Samaritan Society
Subpart
Yes (part of a larger organization)
Parent Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Primary Specialty
Nurse Practitioner
Enumeration Date
Jul 9, 2015
Last Updated
Jul 9, 2015

Practice Location

Address
401 W 2ND ST
ZIP Code
57104-2313
Phone
(605) 336-6252

Authorized Official

Name
GRANT TRIBBLE
Title
EXECUTIVE VP
Phone
60053623100

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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