Individual
MR. LUCIO N MARGALLO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 E 5TH AVE, MITCHELL, SD 57301-2917
(605) 996-5553
(605) 996-1213
Mailing address
1115 E 5TH AVE, MITCHELL, SD 57301-2917
(605) 996-5553
(605) 996-1213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2266
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
460273800
TAX ID
—
01
—
4602738000000E
COMMERCIAL NUMBER ON COMP
—
05
—
6000720
—
SD
Enumeration date
09/05/2006
Last updated
10/24/2013
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