Individual
JON MATHEW SOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
305 S STATE ST, ABERDEEN, SD 57401-4527
(605) 622-5000
(605) 622-5255
Mailing address
430 JACKSON AVE, ORTONVILLE, MN 56278-1453
(605) 622-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R031957
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CR000725
CRNA CERTIFICATION
SD
Enumeration date
06/16/2009
Last updated
09/19/2011
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