Individual
MR. ANTHONY DAVID SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1200 UNIVERSITY ST, UNIT 9430, SPEARFISH, SD 57799-9430
(605) 642-6001
(605) 642-6539
Mailing address
1200 UNIVERSITY ST, UNIT 9430, SPEARFISH, SD 57799-9430
(605) 642-6001
(605) 642-6539
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0043
SD
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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