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YANKTON UROLOGICAL SURGERY LLC NPI 1689779068


NPI Information

NPI: 1689779068
Provider Name: YANKTON UROLOGICAL SURGERY LLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
2009 LOCUST ST
YANKTON, SD
ZIP 57078
Phone: (605) 689-1100
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YANKTON UROLOGICAL SURGERY LLC is an urology in Yankton, SD. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. YANKTON UROLOGICAL SURGERY LLC NPI is 1689779068. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2009 LOCUST ST
YANKTON, SD
ZIP 57078-030
Phone: (605) 689-1100
Fax: (605) 689-1104

The provider's authorized official is Joseph Raymond Boudreau .
The authorized official title is Owner and has the following contact phone number (605) 689-1100.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 1/4/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology4016SOUTH DAKOTAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10007559OTHERBCBS
2S7559MEDICARE PINSOUTH DAKOTA
3=========OTHERDAKOTA CARE
4=========00MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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