Douglas D Everson MD

NPI 1043216484 - Family Medicine - 207Q00000X

NPI Details
NPI 1043216484
Gender Male
Enumeration Date 06/21/2005
Last Updated 01/24/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
2200 13TH AVE
BELLE FOURCHE SD, 57717, US
Phone (605) 892-2701
Fax (605) 644-4197
Business Location
353 FAIRMONT BLVD
ATTEN MEDICAL STAFF SERVICES
RAPID CITY SD, 57701-6000, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State South Dakota
License Number 4250
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According to our database, Douglas D Everson MD NPI is 1043216484, taxonomy code is 207Q00000X and license number is 4250, license state is located at South Dakota. Douglas D Everson MD physically located at 2200 13th Ave, Belle Fourche SD, 57717. NPI Number Douglas D Everson MD has the Individual type.

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1043216484 NPI number is provided on an as is basis without warranty of any kind. 1043216484 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas D Everson MD are for informational purposes only.