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Organization

GREAT PLAINS REHABILITATION MEDICINE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN C. VIDOLOFF MD (PHYSICIAN)
(605) 229-2108
Entity
Organization

Contact information

Practice address
201 S LLOYD ST, STE. W130, ABERDEEN, SD 57401-4552
(605) 229-2108
(605) 229-2116
Mailing address
201 S LLOYD ST, STE. W130, ABERDEEN, SD 57401-4552
(605) 229-2108
(605) 229-2116

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2759
SD

Other

Enumeration date
02/02/2010
Last updated
02/02/2010
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