Healthcare Provider Details

I. General information

NPI: 1801571591
Provider Name (Legal Business Name): MASON JOSEPH ROHR DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 S MARION RD
SIOUX FALLS SD
57106-3646
US

IV. Provider business mailing address

1200 S 7TH AVE
SIOUX FALLS SD
57105-0912
US

V. Phone/Fax

Practice location:
  • Phone: 605-322-1010
  • Fax: 605-322-1011
Mailing address:
  • Phone: 605-504-5400
  • Fax: 605-504-5150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number19724
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: