| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 3318 N. 14th St, Bismarck, North Dakota |
| Authorized Official Name and Position | Leigh Ann Thompson (DIRECTOR OF CLINIC FINANCE) |
| Authorized Official Contact | 7013236000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 5501 Bismarck ND 58506-5501 Ph: (701) 323-6000 | 3318 N. 14th St Bismarck ND 58503 Ph: (701) 323-8300 |
| NPI Number | 1326103920 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326103920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (North Dakota) | Primary |
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