Individual
RICKY KOOIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 S 7TH AVE, SIOUX FALLS, SD 57105-0900
(605) 336-2140
(605) 336-1677
Mailing address
1200 S 7TH AVE, SIOUX FALLS, SD 57105-0900
(605) 504-5400
(605) 504-5150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4499
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6700252
—
SD
Enumeration date
06/19/2006
Last updated
04/18/2022
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