Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WANDA JEAN DALLY, MT
ActiveMedical Technologist · WAGNER, SD
Registration Details
- NPI Number
- 1740497775
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2007 (18.93337130933 yrs)
- Last Updated
- Jul 9, 2007
- License
-
185598 (SD)
Practice Information
- Address
-
111 WASHINGTON AVE NWWAGNER, SD, 57380Browse SD providers · Browse ZIP 57380
- Phone
- 6053843621
- Fax
- 6053843293
- Primary Specialty
-
Medical Technologist
246QM0706X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.