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NPI Code Detail

MEDICARE: DAVID VOELLER CRNA

MEDICARE: DAVID VOELLER CRNA
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
1367500000XCertified Registered Nurse AnesthetistRO31830SD

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 : 1154315679
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID VOELLER CRNA
Provider Business Mailing Address
First Line : 508 6TH ST
Second Line : SUITE 201
City : RAPID CITY
State : SD
Zip : 57701-5011
Country : US
Telephone Number : 605-381-3978
Fax Number :
Provider Business Practice Location Address
First Line : 216 ANAMARIA DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-7366
Country : US
Telephone Number : 605-721-0337
Fax Number : 605-721-0043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 07/08/2007

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Directions to “ DAVID VOELLER CRNA” Practice Location

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