Organization
RIVERS EDGE AESTHETIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN E SMOOT (DIRECTOR)
(605) 335-3349
Entity
Organization
Contact information
Practice address
4201 SOUTH MINNESOTA AVENUE, STE. 111, SIOUX FALLS, SD 57105-6742
(605) 335-3349
(605) 336-8436
Mailing address
4201 SOUTH MINNESOTA AVENUE, STE. 111, SIOUX FALLS, SD 57105-6742
(605) 335-3349
(605) 336-8436
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2010
Last updated
01/30/2020
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