GIDEON THOMAS CARLISLE
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1700754165- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1310 W 22ND ST, SIOUX FALLS, SD, 571051501
- Phone
- (605) 328-8200
Specialties & Taxonomies
Family Medicine
Primary License: SD #CP003886