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NPI Code Detail

MEDICARE: ALESE M ALLERDINGS M.D.

MEDICARE:   ALESE M ALLERDINGS  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 Physician9299SD

General Provider Information

NPI Number : 1285926261
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALESE M ALLERDINGS M.D.
Provider Business Mailing Address
First Line : 801 3RD ST SW
Second Line :
City : DE SMET
State : SD
Zip : 57231-2224
Country : US
Telephone Number : 605-854-3834
Fax Number : 605-854-6099
Provider Business Practice Location Address
First Line : 801 3RD ST SW
Second Line :
City : DE SMET
State : SD
Zip : 57231-2224
Country : US
Telephone Number : 605-854-3834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2011
Last Update Date : 03/27/2025

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Directions to “ ALESE M ALLERDINGS M.D.” Practice Location

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