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NPI Code Detail

MEDICARE: SCOTT W ECKLUND MD

MEDICARE:   SCOTT W ECKLUND  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0505XAdult Medicine Physician1513SD
2207Q00000XFamily Medicine Physician1513SD

General Provider Information

NPI Number : 1306892633
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT W ECKLUND MD
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number : 605-328-2999
Fax Number : 605-328-2957
Provider Business Practice Location Address
First Line : 600 N SYCAMORE AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57110-5745
Country : US
Telephone Number : 605-328-2999
Fax Number : 605-328-2957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 03/31/2022

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Directions to “ SCOTT W ECKLUND MD” Practice Location

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