Provider Demographics
NPI:1467428995
Name:ELSON, DAVID LEE (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:LEE
Last Name:ELSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2400 S. MINNESOTA AVE.
Mailing Address - Street 2:STE. 100
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-3762
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1000 E. 23RD ST.
Practice Address - Street 2:STE. 230
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-2122
Practice Address - Country:US
Practice Address - Phone:605-322-6900
Practice Address - Fax:605-322-6901
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2014-05-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SD2513207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN013702200Medicaid
SD2600234OtherMEDICA
SD10629OtherMIDLANDS CHOICE
MN396S3ELOtherBLUE CROSS
SD25594OtherSANFORD HEALTH PLAN
SD6002342Medicaid
MN396S3ELOtherCC SYSTEMS/ BLUE PLUS
MN125K3ELOtherBLUE CROSS (IN MN)
SD23266OtherARAZ/ AMERICA'S PPO
SD2513OtherDAKOTACARE
SD407191028081OtherPREFERRED ONE
NE46022474336Medicaid
IA1908723Medicaid
SDHP24469OtherHEALTHPARTNERS
SD0040099OtherBLUE CROSS
SD57105V003OtherWPS TRICARE
MN125K3ELOtherBLUE CROSS (IN MN)
SDD25255Medicare UPIN
SD10629OtherMIDLANDS CHOICE
MN396S3ELOtherCC SYSTEMS/ BLUE PLUS