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Organization
PAX PLLC
Active
Organization
PAX PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MORTENSON MD (MEDICAL DIRECTOR)
(605) 366-6569
Entity
Organization
Contact information
Practice address
6709 S MINNESOTA AVE STE 101, SIOUX FALLS, SD 57108-2593
(605) 366-6569
Mailing address
601 S CLIFF AVE STE 101, SIOUX FALLS, SD 57104-5276
(605) 339-0002
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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