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Individual

DR. TERRENCE ELLIOTT BABB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 22ND AVE, BROOKINGS, SD 57006-2497
(605) 697-9500
(605) 697-6939
Mailing address
400 22ND AVE, BROOKINGS, SD 57006-2497
(605) 697-9500
(605) 697-6939

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD036379E
PA
207V00000X
Obstetrics & Gynecology Physician
Primary
LT1049
SD
207V00000X
Obstetrics & Gynecology Physician
MD036379E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1128370
PA
05
6201512
SD
Enumeration date
08/30/2006
Last updated
06/01/2010
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