Healthcare Provider Details

I. General information

NPI: 1487620894
Provider Name (Legal Business Name): CHRISTINE STREBECK ARNOLD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 10/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S BURR ST
MITCHELL SD
57301-4550
US

IV. Provider business mailing address

1200 S BURR ST
MITCHELL SD
57301-4550
US

V. Phone/Fax

Practice location:
  • Phone: 605-292-0695
  • Fax: 605-292-0699
Mailing address:
  • Phone: 605-292-0695
  • Fax: 605-292-0699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5271
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: