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Individual

CLINT E. PERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
4401 MAIN ST, SELBY, SD 57472-2010
(605) 649-9999
Mailing address
PO BOX 556, BOWDLE, SD 57428-0556
(605) 285-6832
(605) 285-6600

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0505
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0041144
BLUE CROSS CLINICS
SD
05
6823854
SD
05
6823855
SD
05
6823856
SD
Enumeration date
10/06/2006
Last updated
01/28/2021
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