NPI 1265669956

Tiffany Ann Frederickson

Practitioner Surgery Physician Rapid City, SD

Practice location

Address: 8412 Kitt Peak Rd, Rapid City, SD 57702-9512
Phone: (515) 201-8982

Registered specialties (3)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 9138 (SD)

Other Surgery providers in South Dakota →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence R-8763 (IA)

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence TD151001 (ME)

Registry record

NPI: 1265669956
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2009
Record last updated: 15 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.