Tanya L Truckenmiller PA-C

NPI 1013107580 - Physician Assistant - 363A00000X

NPI Details
NPI 1013107580
Gender Female
Enumeration Date 07/30/2007
Last Updated 02/22/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
911 E 20TH ST STE 505
SIOUX FALLS SD, 57105-1047, US
Phone (605) 322-7250
Fax (605) 322-7251
Business Location
PO BOX 5126
SIOUX FALLS SD, 57117-5126, US
Phone (605) 335-1952
Fax (605) 373-9971
Toxanomy
Taxonomy Code 363A00000X
License State Nebraska
License Number 1335
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According to our database, Mrs. Tanya L Truckenmiller PA-C NPI is 1013107580, taxonomy code is 363A00000X and license number is 1335, license state is located at Nebraska. Tanya L Truckenmiller PA-C physically located at 911 E 20th St Ste 505, Sioux Falls SD, 57105-1047. NPI Number Tanya L Truckenmiller PA-C has the Individual type.

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1013107580 NPI number is provided on an as is basis without warranty of any kind. 1013107580 is maintained by the National Plan & Provider Enumeration System. The contents of Tanya L Truckenmiller PA-C are for informational purposes only.