# MITCHELL SURGICAL PROF. L.L.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1215007778
- **Authorized official:** MRS. BETTY HIEB RHIA (PRACTICE MANAGER)
- **Authorized official phone:** (605) 996-8989

## Contact information

- **Practice address:** 2200 N KIMBALL ST STE 200, MITCHELL, SD 57301-1122
- **Practice address phone:** (605) 996-8989
- **Practice address fax:** (605) 996-6910
- **Mailing address:** 2200 N KIMBALL ST STE 200, MITCHELL, SD 57301-1122
- **Mailing address phone:** (605) 996-8989
- **Mailing address fax:** (605) 996-6910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | DL000252 | SD | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 08/22/2020