| Jonathan C. Olegario, MD, PC | |
|
120 W 6th Ave Mitchell SD 57301-1920 | |
| (605) 996-9141 | |
| (605) 996-9194 |
| Full Name | Jonathan C. Olegario, MD, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 120 W 6th Ave, Mitchell, South Dakota |
| Authorized Official Name and Position | Jonathan Caceres Olegario (PRESIDENT) |
| Authorized Official Contact | 6059969141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan C. Olegario, MD, PC 120 W 6th Ave Mitchell SD 57301-1920 Ph: (605) 996-9141 | Jonathan C. Olegario, MD, PC 120 W 6th Ave Mitchell SD 57301-1920 Ph: (605) 996-9141 |
| NPI Number | 1902017825 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902017825 | NPI | - | NPPES |
| 6005240 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5718 (South Dakota) | Primary |
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