is a Radiology in Fargo, North Dakota. practices all healthcare services and medical treatments related to Radiology. The NPI Number for is 1578674586. The last update date is .
's current location address is 3223 32nd Avenue S, Fargo, North Dakota. You can contact this provider via phone number 7012970305 and fax number 7012359660. The mailing address for is 3223 32nd Avenue S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3223 32nd Avenue S, Fargo, North Dakota |
| Phone Number | 7012970305 |
| Fax Number | 7012359660 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1578674586 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3223 32nd Avenue S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581036278 |
| Phone Number | 7012970305 |
| Fax Number | 7012359660 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology |
|---|---|
| Taxonomy | 261Qr0200X |
|
Definition: Takes images of the body using radiologic techniques to diagnose disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34Q05IN | MN | BCBS | |
| 1602915 | MEDICA | ||
| 933411015837 | PREFERRED ONE | ||
| 7290170 | SD | -- | |
| 25965 | ND | BCBS | |
| 470000565 | RAILROAD MEDICARE | ||
| 627327100 | MN | -- | |
| 123669600 | FEDERAL WORK COMP | ||
| 10342 | ND | -- | |
| 2109663 | FIRST HEALTH |
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