Sanford Children's Southwest Clinic | |
2701 13th Ave S Fargo ND 58103-3602 | |
(701) 234-3600 | |
Not Available |
Full Name | Sanford Children's Southwest Clinic |
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Speciality | Pediatrics |
Location | 2701 13th Ave S, Fargo, North Dakota |
Authorized Official Name and Position | Martha Leclerc (VICE PRESIDENT) |
Authorized Official Contact | 7012346248 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sanford Children's Southwest Clinic 2701 13th Ave S Fargo ND 58103-3602 Ph: (701) 234-3600 | Sanford Children's Southwest Clinic 2701 13th Ave S Fargo ND 58103-3602 Ph: (701) 234-3600 |
NPI Number | 1942580246 |
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Provider Enumeration Date | 08/18/2011 |
Last Update Date | 11/27/2023 |
Identifier | Type | State | Issuer |
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1942580246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
Sanford Children's Southwest Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 13th Ave S, Fargo, ND 58103 Phone: 701-234-3600 Fax: 701-234-3528 | |
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