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NPI Code Detail

MEDICARE: DR. JAMES DAY EDD, ATC

MEDICARE:  DR. JAMES  DAY  EDD, ATC
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
12255A2300XAthletic Trainer0575SD

General Provider Information

NPI Number : 1497305759
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES DAY EDD, ATC
Provider Business Mailing Address
First Line : 2001 S SUMMIT AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57197-0001
Country : US
Telephone Number : 712-212-4162
Fax Number :
Provider Business Practice Location Address
First Line : 2001 S SUMMIT AVE
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57197-0001
Country : US
Telephone Number : 712-212-4162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2019
Last Update Date : 09/18/2019

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Directions to “ DR. JAMES DAY EDD, ATC” Practice Location

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