Individual
DR. ELIZABETH ANNE PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
7035 TOWNSEND ST, SUMMERSET, SD 57718-9184
(605) 939-8341
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01038017A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01038017
MEDICAL PROFESSIONS LICENSE
IN
05
—
100228120
—
IN
Enumeration date
04/23/2007
Last updated
12/06/2024
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