Individual
ALLA ZAMULKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5019 S WESTERN AVE, STE 200, SIOUX FALLS, SD 57108-5095
(605) 328-9700
(605) 328-9701
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4895
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46022474331
—
NE
05
—
6004192
—
SD
05
—
6004193
—
SD
Enumeration date
06/19/2006
Last updated
12/01/2011
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