Organization
EAR NOSE AND THROAT ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOEL ABBOTT MD (PRESIDENT)
(605) 665-0062
Entity
Organization
Contact information
Practice address
2525 FOX RUN PKWY, SUITE 101, YANKTON, SD 57078-5371
(605) 665-0062
(605) 665-0076
Mailing address
2525 FOX RUN PKWY, SUITE 101, YANKTON, SD 57078-5371
(605) 665-0062
(605) 665-0076
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0462
CERT OF REGISTRATION
SD
Enumeration date
07/05/2006
Last updated
08/15/2012
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