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NPI Code Detail

MEDICARE: EMMETT TERRANCE MCELENEY M.D.

MEDICARE: EMMETT TERRANCE MCELENEY M.D.
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
1207X00000XOrthopaedic Surgery Physician9403SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093790115
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMETT TERRANCE MCELENEY M.D.
Provider Business Mailing Address
First Line : PO BOX 6850
Second Line :
City : RAPID CITY
State : SD
Zip : 57709-6850
Country : US
Telephone Number : 605-341-1414
Fax Number : 605-341-7062
Provider Business Practice Location Address
First Line : 7220 MOUNT RUSHMORE RD
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-8754
Country : US
Telephone Number : 605-341-1414
Fax Number : 605-341-7062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 07/16/2024

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