David Fossum in Brookings - Physician Assistant
David Fossum - NPI 1992757348
David Fossum is a Physician Assistant in Brookings, South Dakota. David Fossum practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for David Fossum is 1992757348. The last update date is 2007-09-24.
David Fossum's current location address is 400 22nd Ave., Brookings, South Dakota. You can contact this provider via phone number 6056979500 and fax number 6056976939. The mailing address for David Fossum is 400 22nd Ave., Brookings, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Fossum |
|---|---|
| Address | 400 22nd Ave., Brookings, South Dakota |
| Phone Number | 6056979500 |
| Fax Number | 6056976939 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1992757348 |
|---|---|
| Provider Enumeration Date | 2006-05-16 |
| Last Updated Date | 2007-09-24 |
Provider Mailing Address Detail
| Address | 400 22nd Ave. |
|---|---|
| City | Brookings |
| State | South Dakota (SD) |
| Post Code | 570062497 |
| Phone Number | 6056979500 |
| Fax Number | 6056976939 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 413 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6826162 | SD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Fossum by the Centers for Medicare & Medicaid Services?
The David Fossum has been issued the NPI (National Provider Identifier) 1992757348 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of David Fossum?
The David Fossum is physically situated at 400 22Nd Ave., in the city of Brookings, state of SD, with the postal code 570062497.
What is David Fossum's area of expertise and its corresponding taxonomy classification?
The David Fossum's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When was the David Fossum's 1992757348 issued?
The David Fossum's 1992757348 was issued on 2006-05-16.
When was the David Fossum's information last updated?
The David Fossum's information was last updated on 2007-09-24.