MR. David Fossum, PAC

NPI #1992757348 in Pierre, South Dakota

Provider Information

NPI Number
1992757348
Entity Type
Individual
Name
MR. David Fossum, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
May 16, 2006
Last Updated
Mar 19, 2024

Practice Location

Address
101 MERCURY ST
City
Pierre
ZIP Code
57501-5672
Phone
(605) 891-4839

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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