NPI 1356369904

State of South Dakota Division of Oasi

Organisation Pediatrics Physician Sioux Falls, SD

Practice location

Address: 1305 W 18th St, Sioux Falls, SD 57105-0401
Phone: (605) 328-7179
Fax: (605) 328-1148
Mailing address: 600 E Capitol Ave, Pierre, SD 57501-2536

Authorised official

Name: Kari Jean Weisbeck
Title: Administrator
Phone: (605) 773-4939

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in South Dakota →

Registry record

NPI: 1356369904
Entity type: Organization
NPI issued: 18 Jul 2006
Record last updated: 11 Jul 2008

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.