Individual
MR. THANH DAC TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3001 W 95TH ST, SIOUX FALLS, SD 57108-6384
(605) 214-8745
Mailing address
3001 W 95TH ST, SIOUX FALLS, SD 57108-6384
(605) 214-8745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0716
SD
Other
Enumeration date
03/17/2009
Last updated
05/11/2016
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