Individual
MS. MARY SIBERT FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2423
(605) 355-2403
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2423
(605) 355-2403
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3829
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5549050
—
SD
Enumeration date
04/13/2006
Last updated
10/28/2011
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