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NPI Code Detail

MEDICARE: CARL DUSTIN BECHTOLD M.D.

MEDICARE: CARL DUSTIN BECHTOLD 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 Physician51051MN
2207X00000XOrthopaedic Surgery Physician7599SD

General Provider Information

NPI Number : 1336160589
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL DUSTIN BECHTOLD 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 : 1210 W 18TH ST STE G01
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-4651
Country : US
Telephone Number : 605-328-2663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2006
Last Update Date : 04/22/2022

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