Organization
GENESIS FAMILY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN DARREL INGALLS D.C. (DOCTOR OF CHIROPRACTIC)
(605) 334-0900
Entity
Organization
Contact information
Practice address
5109 S CLIFF AVE, SIOUX FALLS, SD 57108-5443
(605) 334-0900
(605) 334-0910
Mailing address
5109 S CLIFF AVE, SIOUX FALLS, SD 57108-5443
(605) 334-0900
(605) 334-0910
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1210
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154696060
MEDICARE NPI
SD
Enumeration date
04/03/2014
Last updated
07/17/2014
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