NPI 1053911123

Tyson David Allen

Practitioner Surgical Physician Assistant Dakota Dunes, SD

Practice location

Address: 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312
Phone: (605) 217-2667
Fax: (605) 217-2900

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 106522 (IA)

Other Physician Assistant providers in South Dakota →

Registry record

NPI: 1053911123
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2020
Record last updated: 26 Jan 2021

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.