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NPI Code Detail

MEDICARE: DR. BRIAN D TJARKS M.D.

MEDICARE:  DR. BRIAN D TJARKS  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
1207Q00000XFamily Medicine Physician2786SD

General Provider Information

NPI Number : 1215935325
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN D TJARKS M.D.
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4405 E 26TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57103-4187
Country : US
Telephone Number : 605-332-2883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 04/06/2022

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Directions to “ DR. BRIAN D TJARKS M.D.” Practice Location

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