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Individual

BRENDA L VAN SCOYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA C

Contact information

Practice address
705 SIOUX POINT RD, STE 100, DAKOTA DUNES, SD 57049-5091
(605) 217-5500
(605) 217-5515
Mailing address
705 SIOUX POINT RD, STE 100, DAKOTA DUNES, SD 57049-5091
(605) 217-5500
(605) 217-5515

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
970021543
RR MEDICARE
SD
01
I3623
MEDICARE
Enumeration date
02/24/2006
Last updated
01/22/2010
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