NPI 1285993899
Specialty Orthopedics Prof LLC
Practice location
- Address
- 1727 S Cleveland Ave, Sioux Falls, SD 57103-3245
- Phone
- (605) 335-1952
- Fax
- (605) 373-9971
- Mailing address
- PO Box 5126, Sioux Falls, SD 57117-5126
Authorised official
- Name
- Timothy Joquice Leeburton
- Title
- Owner
- Phone
- (605) 261-4210
Registered specialties
Orthopaedic Surgery Physician
Primary
Registry record
- NPI
- 1285993899
- Entity type
- Organization
- NPI issued
- 16 May 2012
- Record last updated
- 16 May 2012
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.