Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 7703 | SD |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 7703 | SD |
NPI | 1013993195 |
---|---|
Provider Name | Scott A Mcpherson |
First Address | Sioux Falls, SD 57105-1012 |
Second Address | Sioux Falls, SD 57105-2135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2005 |
Last Update Date | 07/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6402640 | (05) | SD |
P01139957 | RR MEDICARE (01) | SD |