MEDICARE: DAVID A BASEL 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
1	208000000X	Pediatrics Physician	8708	SD
2	207R00000X	Internal Medicine Physician	8708	SD

General Provider Information

NPI Number	:	1669451340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A BASEL MD

Provider Business Mailing Address
First Line	:	1200 S 7TH AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-0900
Country	:	US
Telephone Number	:	605-504-5400
Fax Number	:	605-504-5151

Provider Business Practice Location Address
First Line	:	220 S CLIFF AVE # 120
Second Line	:
City	:	HARRISBURG
State	:	SD
Zip	:	57032-2117
Country	:	US
Telephone Number	:	605-213-8000
Fax Number	:	605-213-8005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	04/15/2022

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Directions to “ DAVID A BASEL MD” Practice Location

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