Dale R Shook in Fargo - Diagnostic Radiology

Dale R Shook - NPI 1104847326

Dale R Shook is a Diagnostic Radiology in Fargo, North Dakota. Dale R Shook practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Dale R Shook is 1104847326. The last update date is 2008-05-20.

Dale R Shook's current location address is 2301 25th St S, Fargo, North Dakota. You can contact this provider via phone number 7012711423. The mailing address for Dale R Shook is 2301 25th St S, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale R Shook
Address 2301 25th St S, Fargo, North Dakota
Phone Number 7012711423
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1104847326
Provider Enumeration Date 2006-07-22
Last Updated Date 2008-05-20

Provider Mailing Address Detail

Address 2301 25th St S
City Fargo
State North Dakota (ND)
Post Code 581036104
Phone Number 7012711423
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 3700
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25063500 MN --
1992123 IA --
12366 ND --
49703SH MN BC/BS
SHO000698 ND BC/BS OF ND

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FAQs about Dale R Shook

What is the Dale R Shook's unique identification number?

The Dale R Shook has been assigned the NPI (National Provider Identifier) Number 1104847326 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Dale R Shook is located?

The Dale R Shook is situated at the following address: 2301 25Th St S, Fargo, ND, 581036104.

What is Dale R Shook's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Dale R Shook's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services issue the 1104847326 to Dale R Shook?

The Dale R Shook received its 1104847326 assignment from the Centers for Medicare & Medicaid Services on 2006-07-22.

As of what date were the Dale R Shook's details last updated?

The information pertaining to the Dale R Shook, including its address, specialty, and other details, was most recently updated on 2008-05-20.

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