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Organization

YANKTON EAR NOSE AND THROAT PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY J LIUDAHL MD (PROVIDER AND OWNER)
(605) 665-6820
Entity
Organization

Contact information

Practice address
409 SUMMIT ST STE 2800, YANKTON, SD 57078-3735
(605) 665-6820
(605) 665-6821
Mailing address
409 SUMMIT ST STE 2800, YANKTON, SD 57078-3735
(605) 665-6820
(605) 665-6821

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0389
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0008554
BLUE CROSS BLUE SHIELD
SD
01
CK4038
RAILROAD MEDICARE
SD
Enumeration date
08/20/2006
Last updated
02/22/2013
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