Organization
UROLOGY INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN J O'CONNELL MD (PROVIDER)
(605) 322-8275
Entity
Organization
Contact information
Practice address
911 E 20TH ST STE 501, SIOUX FALLS, SD 57105-1047
(605) 322-8275
Mailing address
PO BOX 5126, SIOUX FALLS, SD 57117-5126
(605) 335-1952
(605) 373-9971
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0423
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025081200
—
NE
01
—
264L4UR
BCBS - GROUP
MN
Enumeration date
07/05/2006
Last updated
02/22/2013
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