| |
2412 S Cliff Ave Ste 200 Sioux Falls SD 57105-4031 | |
(605) 322-4079 | |
(605) 322-4080 |
Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2412 S Cliff Ave, Sioux Falls, South Dakota |
Authorized Official Name and Position | David Flicek (CEO/PRESIDENT) |
Authorized Official Contact | 6053228000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 86370 Sioux Falls SD 57118-6370 Ph: (605) 322-4995 | 2412 S Cliff Ave Ste 200 Sioux Falls SD 57105-4031 Ph: (605) 322-4079 |
NPI Number | 1760933261 |
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Provider Enumeration Date | 10/19/2016 |
Last Update Date | 10/24/2018 |
Identifier | Type | State | Issuer |
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1760933261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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