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Individual

BARB J JOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
100 MAC LANE, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 224-5901
(605) 945-5295
Mailing address
100 MAC LANE, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 224-5901
(605) 945-5295

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0008
SD
363A00000X
Physician Assistant
Primary
8
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6820200
SD
Enumeration date
06/13/2006
Last updated
06/29/2012
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