Individual
JAY R ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 E 20TH ST, SIOUX FALLS, SD 57105-1013
(605) 339-1783
(605) 367-7157
Mailing address
1115 E 20TH ST, SIOUX FALLS, SD 57105-1013
(605) 339-1783
(605) 367-7157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20321
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025621600
—
NE
Enumeration date
04/21/2006
Last updated
01/27/2015
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