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Contact Information

RUTH R MOEN, DPM
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD57108-6029
 Phone: 605-504-1100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RUTH R MOEN · (Female)

NPI Number 1124437595
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/10/2014
Last updated 09/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 240
Hospital affiliation(s)
  • AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER - (Acute Care)
    1325 S CLIFF AVE POST OFFICE BOX 5045
    SIOUX FALLS, SD 57117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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