Individual
ELIZABETH MARIE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 W 22ND ST, SIOUX FALLS, SD 57105-1502
(605) 404-4000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0433
SD
207R00000X
Internal Medicine Physician
Primary
12807
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2018
Last updated
06/06/2023
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