SearchSouth Dakota363A00000X

David Fossum, PAC

NPI 1992757348 · on the registry since 2006

Practice

Address
101 Mercury St
Pierre, SD 57501
Phone
(605) 891-4839
Fax
(605) 612-7251

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-19

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