DAVID FOSSUM

PIERRE, SD
NPI1992757348
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SD  0413)
Enumeration Date2006-05-16
Last Update Date2024-03-19
Business Address
Mr. DAVID FOSSUM PAC
101 MERCURY ST
PIERRE, SD 57501-5672
Phone number: 605-891-4839
Mailing Address
Mr. DAVID FOSSUM PAC
101 MERCURY ST
PIERRE, SD 57501-5672
Phone number: 605-891-4839