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Individual

DR. SHIRLENE K SMOOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1309 W 17TH ST STE G01, SIOUX FALLS, SD 57104-4664
(605) 312-3400
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4778
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5601542
SD
Enumeration date
04/20/2006
Last updated
02/03/2022
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