BAYSIDE PODIATRY PA NPI 1740345057

NPI Information

BAYSIDE PODIATRY PA is a podiatrist in Spearfish, SD. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BAYSIDE PODIATRY PA NPI is 1740345057. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

927 E COLORADO BLVD
SPEARFISH, SD
ZIP 57783-783
Phone: (605) 641-5794
Fax: (480) 393-5577

The provider's authorized official is Lorri Riley .
The authorized official title is Owner and has the following contact phone number (605) 641-5794.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 7/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.