Mark W Klabo in Valley City - Physician Assistant

Mark W Klabo - NPI 1275793978

Mark W Klabo is a Physician Assistant in Valley City, North Dakota. Mark W Klabo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark W Klabo is 1275793978. The last update date is 2011-07-20.

Mark W Klabo's current location address is 570 Chautauqua Blvd, Valley City, North Dakota. You can contact this provider via phone number 7018456400 and fax number 7018456466. The mailing address for Mark W Klabo is 570 Chautauqua Blvd, Valley City, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark W Klabo
Address 570 Chautauqua Blvd, Valley City, North Dakota
Phone Number 7018456400
Fax Number 7018456466
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1275793978
Provider Enumeration Date 2008-06-16
Last Updated Date 2011-07-20

Provider Mailing Address Detail

Address 570 Chautauqua Blvd
City Valley City
State North Dakota (ND)
Post Code 580723145
Phone Number 7018456400
Fax Number 7018456466

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PAC0391
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PAC0391 ND LICENSE

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FAQs about Mark W Klabo

What is the unique 10-digit identifier code issued to Mark W Klabo by the Centers for Medicare & Medicaid Services?

The Mark W Klabo has been assigned the NPI (National Provider Identifier) 1275793978 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Mark W Klabo's facilities are situated?

The facilities of Mark W Klabo are physically located at the following address: 570 Chautauqua Blvd, Valley City, ND, 580723145.

What is the Mark W Klabo's specialty and taxonomy code?

The Mark W Klabo's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

When was the Mark W Klabo's 1275793978 issued?

The Mark W Klabo's 1275793978 was issued on 2008-06-16.

When was the information pertaining to Mark W Klabo most recently updated or revised?

The details related to Mark W Klabo, including its address, specialty, and other relevant information, were last updated or revised on 2011-07-20.

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