NPI 1861055741

Adrienne Coleen Widow

Practitioner Other Technician Eagle Butte, SD

Practice location

Address: 24276 Airport Rd, Eagle Butte, SD 57625
Phone: (605) 964-7724

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in South Dakota →

Registry record

NPI: 1861055741
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2019
Record last updated: 17 Apr 2019

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.