Individual
SCOTT JOHN DIERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 W 69TH ST, SIOUX FALLS, SD 57108-5612
(605) 322-5200
(605) 322-5215
Mailing address
1200 S 7TH AVE, SIOUX FALLS, SD 57105-0900
(605) 504-5400
(605) 504-5150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5872
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5611160
—
SD
Enumeration date
07/14/2006
Last updated
04/18/2022
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