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Individual

DR. ULISES JORGE PESCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYCHIATRIST

Contact information

Practice address
803 E DAKOTA, PIERRE, SD 57501-0148
(605) 224-5811
(605) 224-6921
Mailing address
PO BOX 148, 803 E DAKOTA, PIERRE, SD 57501-0148
(605) 224-5811
(605) 224-6921

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1150
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0009355
BLUE CROSS BLUE SHIELD
SD
01
P00163246
RAILROAD BENEFITS
SD
Enumeration date
03/01/2007
Last updated
07/08/2007
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