Individual
DR. JOEL DAVID QUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5012 S BUR OAK PL, SIOUX FALLS, SD 57108-2228
(605) 361-1680
Mailing address
5012 S BUR OAK PL, SIOUX FALLS, SD 57108-2228
(605) 361-1680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002510
IA
152W00000X
Optometrist
Primary
T726
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134415789
—
SD
Enumeration date
06/22/2011
Last updated
06/17/2020
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