Organization
SPECIALTY ORTHOPEDICS PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JOQUICE LEEBURTON M.D. (OWNER)
(605) 261-4210
Entity
Organization
Contact information
Practice address
1727 S CLEVELAND AVE, SIOUX FALLS, SD 57103-3245
(605) 335-1952
(605) 373-9971
Mailing address
PO BOX 5126, SIOUX FALLS, SD 57117-5126
(605) 335-1952
(605) 373-9971
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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