Individual
WILLIAM BRYCE GAMMETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4400 W 69TH ST, SUITE 1500, SIOUX FALLS, SD 57108-8170
(605) 322-5700
Mailing address
4400 W 69TH ST, SUITE 1500, SIOUX FALLS, SD 57108-8170
(605) 322-5700
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
8265
SD
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
8265
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7102910
—
SD
Enumeration date
07/28/2007
Last updated
08/01/2012
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