Individual
AMIEL NARCELLE REDFISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
104 W BIRCH, ARLINGTON, SD 57212-0291
(605) 983-3283
(605) 983-5112
Mailing address
PO BOX 291, 104 W. BIRCH, ARLINGTON, SD 57212-0291
(605) 983-3283
(605) 983-5112
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
SD0173
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5300830
—
SD
Enumeration date
01/03/2007
Last updated
07/08/2007
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