Search › South Dakota › 103TF0200X

Roger Belisle, PH.D

NPI 1396047270 · on the registry since 2010 · sole proprietor

Practice

Address
2900 Doolittle Dr
Ellsworth Afb, SD 57706
Phone
(605) 385-3656
Organisation at this address
28th Medgrp-Ellsworth
28th Medgrp-Ellsworth
Inferred from a shared address, not stated in the registry.
Clinicians at this address
87

Registry record

Primary taxonomy
103TF0200X
103TF0200X
Also registered as
103TC0700X
103TC0700X
103TC0700X
103TF0200X
103TF0200X
103TF0200X
103TF0200X
Licence states on file
SD, VA, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-25

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