| St Sophie's Bismarck | |
|
3000 N 14th St Ste 2a Bismarck ND 58503-0697 | |
| (701) 365-4467 | |
| Not Available |
| Full Name | St Sophie's Bismarck |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3000 N 14th St, Bismarck, North Dakota |
| Authorized Official Name and Position | Emmet Kenney (CEO) |
| Authorized Official Contact | 7013654488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Sophie's Bismarck 3120 25th St S Ste Z #344 Fargo ND 58103-6164 Ph: (701) 365-4467 | St Sophie's Bismarck 3000 N 14th St Ste 2a Bismarck ND 58503-0697 Ph: (701) 365-4467 |
| NPI Number | 1679916621 |
|---|---|
| Provider Enumeration Date | 04/09/2013 |
| Last Update Date | 04/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679916621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 7174 (North Dakota) | Primary |
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