Individual
BRADLEY R PLAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 331-5890
(605) 336-3974
Mailing address
PO BOX 5116, 810 EAST 23RD, SIOUX FALLS, SD 57117-5116
(605) 331-5890
(605) 336-3974
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4056
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1911107
—
IA
01
—
200039666
RAILROAD MEDICARE
SD
05
—
6400732
—
SD
Enumeration date
07/09/2006
Last updated
04/29/2008
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