Provider First Line Business Practice Location Address:
2501 WEST 22ND STREET
Provider Second Line Business Practice Location Address:
SURGICAL SERVICE (112) VA MEDICAL CENTER
Provider Business Practice Location Address City Name:
SIOUX FALLS
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-333-6859
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/18/2006