Individual
STEVE A JEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1830 5TH AVE, BELLE FOURCHE, SD 57717-1405
(605) 892-4411
(605) 892-6227
Mailing address
1830 5TH AVENUE, BELLE FOURCHE, SD 57717-1405
(605) 892-4411
(605) 892-6227
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9280613
—
SD
Enumeration date
07/15/2006
Last updated
07/08/2007
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