| |
3883 74th Ave Ne, Fort Totten, ND 58335 | |
(701) 766-1600 | |
(701) 766-1630 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 3883 74th Ave Ne, Fort Totten, North Dakota |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417408907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 309, Fort Totten, ND 58335-0309 Ph: (701) 766-1600 | 3883 74th Ave Ne, Fort Totten, ND 58335 Ph: (701) 766-1600 |