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Organization
KONSTANT CHIROPRACTIC CLINIC, PC
Active
Organization
KONSTANT CHIROPRACTIC CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D. KONSTANT D.C. (PRESIDENT)
(605) 882-1131
Entity
Organization
Contact information
Practice address
1308 19TH STREET NE, WATERTOWN, SD 57201
(605) 882-1131
(605) 882-9602
Mailing address
1308 19TH STREET NE, WATERTOWN, SD 57201
(605) 882-1131
(605) 882-9602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
725
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008353
BLUE CROSS BLUE SHIELD
SD
01
—
22163
SANFORD HEALTH
SD
05
—
7603070
—
SD
01
—
C725
DAKOTACARE
SD
01
—
DG6156
PALMETTO GBA
SD
Enumeration date
05/23/2007
Last updated
08/18/2014
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