NPI 1023878915
Specialty Clinic of Sioux City, LLC
Practice location
- Address
- 400 Bayhill Cir, Dakota Dunes, SD 57049-5092
- Phone
- (605) 553-6458
- Mailing address
- 166 Saddlebrook CT, North Sioux City, SD 57049-5443
Authorised official
- Name
- Trae Bergh
- Title
- Manager
- Phone
- (605) 553-6458
Registered specialties (2)
General Practice Physician
Primary
Primary Care Clinic/Center
Registry record
- NPI
- 1023878915
- Entity type
- Organization
- NPI issued
- 19 Mar 2024
- Record last updated
- 19 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.