Individual
DR. ELLIS RUPERT EASTERLING IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
0101259175
VA
207R00000X
Internal Medicine Physician
12626
SD
208M00000X
Hospitalist Physician
Primary
12626
SC
Other
Enumeration date
04/24/2014
Last updated
11/26/2024
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