Organization
SIOUX FALLS PHYSICAL MEDICINE AND REHABILITATION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY J BLOW MD (OWNER)
(605) 988-0910
Entity
Organization
Contact information
Practice address
101 W 69TH STR., STE 103, SIOUX FALLS, SD 57108-2440
(605) 988-0910
(605) 988-0911
Mailing address
101 W 69TH STR., STE 103, SIOUX FALLS, SD 57108-2440
(605) 988-0910
(605) 988-0911
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3724
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6400692
—
SD
Enumeration date
06/17/2009
Last updated
09/01/2009
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