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Individual

DR. JOSEPH SIMON VILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 E DAKOTA AVE, PIERRE, SD 57501-3313
(605) 224-5901
(605) 945-5295
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4562
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5610640
SD
Enumeration date
05/30/2006
Last updated
03/31/2022
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