Individual
NICK PAUL JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MAC LN, PIERRE, SD 57501-3391
(605) 224-5901
Mailing address
1118 LAKEWOOD DR, PIERRE, SD 57501-5231
(605) 280-1079
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
SD-CRN CR000860
SD
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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