Organization
JONATHAN C. OLEGARIO, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CACERES OLEGARIO MD (PRESIDENT)
(605) 996-9141
Entity
Organization
Contact information
Practice address
120 W 6TH AVE, MITCHELL, SD 57301-1920
(605) 996-9141
(605) 996-9194
Mailing address
120 W 6TH AVE, MITCHELL, SD 57301-1920
(605) 996-9141
(605) 996-9194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5718
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005240
—
SD
Enumeration date
05/24/2007
Last updated
08/22/2020
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