Individual
JASON DOMAGALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105
(605) 336-3230
Mailing address
5201 S MANDY AVE, SIOUX FALLS, SD 57106-2860
(605) 323-2831
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0483
SD
Other
Enumeration date
05/19/2006
Last updated
08/10/2018
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