Most Relevant Information
Provider Data
| NPI Number: | 1003360025 |
| Provider Name: | TIFFANY ALBERTSON |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | 530 |
Most Important Dates
| Enumeration Date: | 08/08/2016 |
| Last Updated: | 08/08/2016 |
Provider Practice Location
406 W 14TH AVE
TYNDALL
SD
570662280
Practice Location Phone/Fax
| Phone: | 6055893134 |
| Fax: | 6055893661 |
Provider Mailing Location
PO BOX 5
TRIPP
SD
573760005
Provider Mailing Phone/Fax
| Phone: | 6057706382 |
| Fax: |