Jeffrey J Liudahl, MD | |
100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 | |
(605) 945-5202 | |
(605) 945-5294 |
Full Name | Jeffrey J Liudahl |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 100 Mac Lane, Pierre, South Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972618924 | NPI | - | NPPES |
6520325 | Medicaid | SD | |
6520324 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 1242 (South Dakota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jeffrey J Liudahl, MD 100 Mac Lane, Avera Medical Group Pierre, Pierres, SD 57501 Ph: (605) 945-5202 | Jeffrey J Liudahl, MD 100 Mac Lane, Avera Medical Group Pierre, Pierre, SD 57501 Ph: (605) 945-5202 |
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