Beau S Flom in Fargo - Medical

Beau S Flom - NPI 1134146095

Beau S Flom is a Medical in Fargo, North Dakota. Beau S Flom practices all healthcare services and medical treatments related to Medical. The NPI Number for Beau S Flom is 1134146095. The last update date is 2012-10-16.

Beau S Flom's current location address is 801 Broadway N, Fargo, North Dakota. You can contact this provider via phone number 7012342254 and fax number 7012343769. The mailing address for Beau S Flom is 801 Broadway N, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Beau S Flom
Address 801 Broadway N, Fargo, North Dakota
Phone Number 7012342254
Fax Number 7012343769
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1134146095
Provider Enumeration Date 2006-07-16
Last Updated Date 2012-10-16

Provider Mailing Address Detail

Address 801 Broadway N
City Fargo
State North Dakota (ND)
Post Code 581023641
Phone Number 7012342254
Fax Number 7012343769

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PAC0244
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
71082 ND --
680953700 MN --

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FAQs about Beau S Flom

What is the Beau S Flom's unique identification number?

The Beau S Flom has been assigned the NPI (National Provider Identifier) Number 1134146095 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Beau S Flom's facilities are situated?

The facilities of Beau S Flom are physically located at the following address: 801 Broadway N, Fargo, ND, 581023641.

What is Beau S Flom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Beau S Flom is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1134146095 to Beau S Flom?

The Centers for Medicare & Medicaid Services assigned the 1134146095 to Beau S Flom on 2006-07-16.

When was the Beau S Flom's information last updated?

The Beau S Flom's information was last updated on 2012-10-16.

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