Brock J Doubledee D.O.

NPI 1013994730 - Pediatrics - 208000000X

NPI Details
NPI 1013994730
Gender Male
Enumeration Date 12/22/2005
Last Updated 03/05/2009
Entity Type Individual
Active Over 12 years ago
Practice Location
1600 W 22ND
SIOUX FALLS SD, 57105-1521, US
Phone (605) 312-1000
Fax (605) 312-1001
Business Location
PO BOX 5074
SIOUX FALLS SD, 57117-5074, US
Phone (605) 312-1000
Fax (605) 312-1001
Taxonomy Code 208000000X
License State Minnesota
License Number 47322
Remove 1013994730 NPI Number

According to our database, Brock J Doubledee D.O. NPI is 1013994730, taxonomy code is 208000000X and license number is 47322, license state is located at Minnesota. Brock J Doubledee D.O. physically located at 1600 W 22nd, Sioux Falls SD, 57105-1521. NPI Number Brock J Doubledee D.O. has the Individual type.

1013994730 NPI number is provided on an as is basis without warranty of any kind. 1013994730 is maintained by the National Plan & Provider Enumeration System. The contents of Brock J Doubledee D.O. are for informational purposes only.