Individual
JEFFREY D BARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-2754
(605) 322-2727
Mailing address
PO BOX 5045, ATTN: PROV ENROLL, P.F.S., SIOUX FALLS, SD 57117-5045
(605) 322-2754
(605) 322-2727
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R022430
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065246
BLUE CROSS OF SD
SD
01
—
012K8BA
MN BLUECROSS BS
MN
05
—
047523800
—
MN
05
—
1539775
—
IA
05
—
2539775
—
IA
05
—
46022474348
—
NE
05
—
5751562
—
SD
05
—
5751563
—
SD
01
—
R022430
DAKOTACARE
SD
Enumeration date
09/16/2005
Last updated
06/07/2011
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