AUSTIN DALE

SIOUX FALLS, SD
NPI1104246289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SD  CR000843)
Enumeration Date2014-04-16
Last Update Date2014-04-16
Business Address
-- AUSTIN DALE
1325 S CLIFF AVE
SIOUX FALLS, SD 57105-1007
Phone number: 605-322-5080
Mailing Address
-- AUSTIN DALE
PO BOX 5045 ATTN: C.B.O. PROV ENROLLMT
SIOUX FALLS, SD 57117-5045
Phone number: 605-322-6400