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Individual

DOUGLAS K PAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
116 W. 69TH ST., STE. 100, SIOUX FALLS, SD 57108
(605) 322-6960
(605) 322-6961
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0668
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040222
BLUE CROSS
SD
01
0300193
MEDICA
SD
01
040122003
PRIMEWEST
MN
01
0668
DAKOTACARE
SD
01
070016795
RR MEDICARE
SD
05
1529784
IA
01
16320
MIDLANDS CHOICE
SD
01
1663489
ARAZ/ AMERICA'S PPO
SD
01
25104
SANFORD HEALTH PLAN
SD
01
397S2PA
BLUE CROSS
MN
01
407211028128
PREFERRED ONE
SD
05
46022474343
NE
05
470658700
MN
01
57108B004
WPS TRICARE
SD
05
5900382
SD
01
HP37149
HEALTHPARTNERS
SD
Enumeration date
02/23/2006
Last updated
12/26/2008
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