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 |
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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 |
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Provider Enumeration Date | 2006-07-16 |
Last Updated Date | 2012-10-16 |
Provider Mailing Address Detail
Address | 801 Broadway N |
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City | Fargo |
State | North Dakota (ND) |
Post Code | 581023641 |
Phone Number | 7012342254 |
Fax Number | 7012343769 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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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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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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