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Kathryn O Haivala, Od Pllc
Health Service Clinic/Center in Spearfish, South Dakota
NPI 1548874084

Kathryn O Haivala, Od Pllc is a Health Service Clinic/Center based in Spearfish, SD and is specialized in Health Service. Kathryn O Haivala, Od Pllc practices in Spearfish, SD. The NPI Number for Kathryn O Haivala, Od Pllc is 1548874084 and holds a License No. (South Dakota).

The current practice location address for Kathryn O Haivala, Od Pllc is 1710 North Ave, Spearfish, SD and can be reached out via phone at 605-642-8480 and via fax at 605-642-8185.

Location: 1710 North Ave, Spearfish, SD, 57783-1218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548874084
Provider Name
Kathryn O Haivala, Od Pllc
Credential
Provider Entity Type
Organization
Address
1710 North Ave, Spearfish, SD, 57783-1218
Phone Number
605-642-8480
Fax Number
605-642-8185
Provider Enumeration Date
09/02/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9202840 05 SD
institution
Provider Business Practice Location Address Details
Address
1710 North Ave
City
Spearfish
State
South Dakota
Zip
57783-1218
Phone Number
605-642-8480
Fax Number
605-642-8185
person
Provider Business Mailing Address Details
Address
1710 North Ave
City
Spearfish
State
South Dakota
Zip
57783-1218
Phone Number
605-642-8480
Fax Number
605-642-8185
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
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Definition
Definition to come...
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