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Dr. Glenn P Moradian, MD
Diagnostic Radiology Physician in Williston, North Dakota
NPI 1356349955

Glenn P Moradian is a Diagnostic Radiology Physician based in Williston, ND and is specialized in Diagnostic Radiology. Glenn P Moradian practices in Williston, ND and has the professional credentials of MD. The NPI Number for Glenn P Moradian is 1356349955 and holds a License No. PT11018 (North Dakota).

The current practice location address for Glenn P Moradian is 1301 15Th Ave W, Williston, ND and can be reached out via phone at 701-774-7401. You can also correspond with Glenn P Moradian through the mailing address at PO BOX 2537, WILLISTON, ND - 58802-2537 (mailing address contact number: 866-338-6472).

Location: 1301 15Th Ave W, Williston, ND, 58802-2537
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Provider Profile Details
NPI Number
1356349955
Provider Name
Glenn P Moradian
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1301 15Th Ave W, Williston, ND, 58802-2537
Phone Number
701-774-7401
Fax Number
Provider Enumeration Date
07/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010149530 01 ID BS INDIVIDUAL PIN NUMBER
74070 01 UT BC OF IDAHO
B4059 01 UT BC OF IDAHO
B5651 01 UT BC OF IDAHO
P00203248 01 ID RR MEDICARE NO
804043200 05 ID
15042 05 ND
institution
Provider Business Practice Location Address Details
Address
1301 15Th Ave W
City
State
Zip
58801-3821
Phone Number
701-774-7401
Fax Number
person
Provider Business Mailing Address Details
Address
1301 15Th Ave W
City
State
Zip
58801-3821
Phone Number
701-774-7401
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
PT11018 (North Dakota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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