Search › South Dakota › 207R00000X
Ty Moody, MD
NPI 1932787017 · on the registry since 2021
Practice
- Address
- 1900 Grassland Dr
Mitchell, SD 57301 - Phone
- (605) 995-7000
- Organisation at this address
- Avera Mckennan
Avera Queen Of Peace
Avera Queen Of Peace
Avera Queen Of Peace
Avera Queen Of PeaceInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Additional practice sites
- 1400 W 22nd St, Sioux Falls, SD
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota