Organization
EDWARD P D'SOUZA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD PAUL D'SOUZA MD (PRESIDENT)
(605) 229-4192
Entity
Organization
Contact information
Practice address
405 8TH AVE NW, SUITE 302, ABERDEEN, SD 57401-2762
(605) 229-4192
(605) 229-5311
Mailing address
405 8TH AVE NW, SUITE 302, ABERDEEN, SD 57401-2762
(605) 229-4192
(605) 229-5311
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2011
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7300130
—
SD
Enumeration date
10/06/2005
Last updated
01/15/2008
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