Individual provider · Type 1 NPI

Tyson David Allen

Surgical Physician Assistant · Dakota Dunes, SD

NPI number 1053911123 Active

Practice location

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312

Call (605) 217-2667 Map

Fax (605) 217-2900

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X106522 (IA)

Surgical Physician Assistant: Definition to come...

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About NPI 1053911123

Tyson David Allen's National Provider Identifier is 1053911123, issued on Oct 28, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dakota Dunes, SD. The record was last updated on Jan 26, 2021.