Individual
DYLAN STAHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 W 18TH ST STE 100, SIOUX FALLS, SD 57104-4650
(605) 312-8500
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2022
Last updated
01/24/2024
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