Healthcare Provider Details

I. General information

NPI: 1144943747
Provider Name (Legal Business Name): PEAK MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 09/20/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 S MAIN ST
ARLINGTON SD
57212-2084
US

IV. Provider business mailing address

PO BOX 302
ARLINGTON SD
57212-0302
US

V. Phone/Fax

Practice location:
  • Phone: 605-983-5131
  • Fax: 605-983-4748
Mailing address:
  • Phone: 605-983-5131
  • Fax: 605-983-4748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA DAVID JENSEN
Title or Position: OWNER
Credential: DC
Phone: 605-695-1226