Individual
DR. NATHAN ANDREW BOCKHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 W 69TH ST, SIOUX FALLS, SD 57108-2403
(605) 336-0635
(605) 271-0543
Mailing address
201 W 69TH ST, SIOUX FALLS, SD 57108-2403
(605) 336-0635
(605) 271-0543
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9520
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295901460
—
SD
Enumeration date
05/07/2008
Last updated
09/25/2015
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