Individual
NOEL DEXTER LUIS TIANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 S CLIFF AVE, STE 601, SIOUX FALLS, SD 57105-1032
(605) 322-6930
(605) 322-6931
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
8277
SD
207RP1001X
Pulmonary Disease Physician
MD443965
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007440
—
SD
05
—
6007442
—
SD
Enumeration date
11/30/2007
Last updated
10/15/2018
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