Individual
BRADLEY L. PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7220 W 41ST ST, SIOUX FALLS, SD 57106-6028
(605) 328-9600
(605) 328-9620
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5055
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5611215
—
SD
Enumeration date
06/21/2005
Last updated
08/15/2012
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