Individual
REBECCA A FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-8000
(573) 884-9992
Mailing address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-4425
(605) 322-4499
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11953
SD
208000000X
Pediatrics Physician
2013018187
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0210555
—
OH
Enumeration date
07/02/2013
Last updated
08/11/2020
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