Individual
COOPER BUFORD GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-8000
Mailing address
2909 S HOLLY AVE, SIOUX FALLS, SD 57105-4411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001450
SD
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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