SearchSouth Dakota2080N0001X

Luis Bolanos, DO

NPI 1023647666 · on the registry since 2020 · sole proprietor

Practice

Address
1325 S Cliff Ave
Sioux Falls, SD 57105
Phone
(605) 322-6400
Organisation at this address
Avera Mckennan
Avera Mckennan
Avera Mckennan
Avera Mckennan
Avera Mckennan
Inferred from a shared address, not stated in the registry.
Clinicians at this address
334

Registry record

Primary taxonomy
2080N0001X
2080N0001X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-21

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