Thomas Matthew Boetel D.O.

NPI 1043276645 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1043276645
Gender Male
Enumeration Date 04/22/2006
Last Updated 08/27/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1210 W 18TH ST
SUITE 100
SIOUX FALLS SD, 57104-4647, US
Phone (605) 312-8500
Fax (605) 312-8501
Business Location
PO BOX 5074
SIOUX FALLS SD, 57117-5074, US
Phone (605) 328-1848
Fax (605) 328-1898
Toxanomy
Taxonomy Code 208100000X
License State Pennsylvania
License Number OS013636
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According to our database, Dr. Thomas Matthew Boetel D.O. NPI is 1043276645, taxonomy code is 208100000X and license number is OS013636, license state is located at Pennsylvania. Thomas Matthew Boetel D.O. physically located at 1210 W 18th St, Sioux Falls SD, 57104-4647. NPI Number Thomas Matthew Boetel D.O. has the Individual type.

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1043276645 NPI number is provided on an as is basis without warranty of any kind. 1043276645 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Matthew Boetel D.O. are for informational purposes only.