Individual
BECKY EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 S CLIFF AVE, SUITE 506, SIOUX FALLS, SD 57105-1005
(605) 335-0844
(605) 977-1715
Mailing address
1301 S CLIFF AVE, STE 506, SIOUX FALLS, SD 57105-1005
(605) 335-0844
(605) 977-1715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
575
SD
363AM0700X
Medical Physician Assistant
Primary
575
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6827623
—
SD
05
—
6827625
—
SD
Enumeration date
06/19/2006
Last updated
01/23/2014
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