Individual
SCOTT R ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
410 W 16TH AVE, TYNDALL, SD 57066-2318
(605) 589-2100
(605) 589-2115
Mailing address
410 W 16TH AVE, TYNDALL, SD 57066-2318
(605) 589-2100
(605) 589-2115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1212
SD
Other
Enumeration date
09/06/2019
Last updated
08/25/2020
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