NPI 1740497775

Wanda Jean Dally, MT

Practitioner Medical Technologist Wagner, SD

Practice location

Address: 111 Washington Ave NW, Wagner, SD 57380
Phone: (605) 384-3621
Fax: (605) 384-3293

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence 185598 (SD)

Other Specialist/Technologist, Pathology providers in South Dakota →

Registry record

NPI: 1740497775
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 May 2007
Record last updated: 9 Jul 2007

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.