Individual
ROBERT CARL DOUVILLE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
HWY 34 & 47, FORT THOMPSON, SD 57339-0200
(605) 245-2283
(605) 245-2150
Mailing address
HWY 34 & 47, FORT THOMPSON, SD 57339-0200
(605) 245-2283
(605) 245-2150
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R-025435
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5549010
—
SD
Enumeration date
08/25/2006
Last updated
07/09/2007
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