# SIOUX FALLS CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104201599
- **Authorized official:** JACLYN SMALL (MANAGER)
- **Authorized official phone:** (605) 334-1930

## Contact information

- **Practice address:** 6301 S MINNESOTA AVE, SUITE 300, SIOUX FALLS, SD 57108-2528
- **Practice address phone:** (605) 334-1930
- **Practice address fax:** (605) 334-0926
- **Mailing address:** 6301 S MINNESOTA AVE, SUITE 300, SIOUX FALLS, SD 57108-2528
- **Mailing address phone:** (605) 334-1930
- **Mailing address fax:** (605) 334-0926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2015
- **Last updated:** 07/27/2015