Individual
DR. RYAN ARLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
502 N 16TH ST, BERESFORD, SD 57004-1503
(605) 763-8026
Mailing address
PO BOX 272, BERESFORD, SD 57004-0272
(605) 763-8026
(605) 763-8016
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
566
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9203250
—
SD
Enumeration date
07/26/2005
Last updated
05/31/2013
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