Individual
DR. FERNANDO COSME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HIGHWAY 18 E, PINE RIDGE HOSPITAL, PINE RIDGE, SD 57770-1201
(605) 867-3151
(605) 867-3306
Mailing address
PO BOX 5018, PINE RIDGE, SD 57770-5018
(605) 867-3151
(605) 867-3306
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8464
PR
Other
Enumeration date
02/16/2006
Last updated
07/22/2009
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