Organization
MARK W FOX MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W FOX MD (OWNER)
(605) 322-4825
Entity
Organization
Contact information
Practice address
1100 E 21ST ST, SUITE 220, SIOUX FALLS, SD 57105-1020
(605) 322-4825
(605) 322-4826
Mailing address
1100 E 21ST ST, SUITE 220, SIOUX FALLS, SD 57105-1020
(605) 322-4825
(605) 322-4826
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63D15FO
BLUE SHIELD OF MN
SD
Enumeration date
03/17/2008
Last updated
07/18/2008
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