Individual
ELIZABETH PEARL HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-7905
Mailing address
916 N SAVANNAH DR, SIOUX FALLS, SD 57103-6615
(605) 321-6090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11093
SD
207R00000X
Internal Medicine Physician
243
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
09/17/2018
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