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Individual

SCOTT R ATCHISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 338-5488
Mailing address
PO BOX 1321, SIOUX FALLS, SD 57101-1321
(605) 338-5488
(605) 373-9971

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2795
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000906
BCBS
SD
05
0949834
IA
05
1632986-01
TX
05
209306406
MO
01
3T054AT
BCBS
MN
05
5700380
SD
05
983098700
MN
Enumeration date
02/27/2006
Last updated
04/17/2017
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