Individual
TAMMI K STANGOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 W 22ND ST, STE 102, SIOUX FALLS, SD 57105-1503
(605) 328-7700
(605) 328-7775
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9556
(605) 328-9501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0564
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6825410
—
SD
Enumeration date
06/27/2005
Last updated
11/20/2019
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