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Legacy Medical Llc
Adult Medicine Physician in Bismarck, North Dakota
NPI 1619594637

Legacy Medical Llc is an Adult Medicine Physician based in Grand Forks, ND and is specialized in Adult Medicine. Legacy Medical Llc practices in Bismarck, ND. The NPI Number for Legacy Medical Llc is 1619594637 and holds a License No. (North Dakota).

The current practice location address for Legacy Medical Llc is 600 S 2Nd St Ste 200, Bismarck, ND and can be reached out via phone at 701-516-4637 and via fax at 877-651-1381.

Location: 600 S 2Nd St Ste 200, Bismarck, ND, 58208-3238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619594637
Provider Name
Legacy Medical Llc
Credential
Provider Entity Type
Organization
Address
600 S 2Nd St Ste 200, Bismarck, ND, 58208-3238
Phone Number
701-516-4637
Fax Number
877-651-1381
Provider Enumeration Date
06/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 S 2Nd St Ste 200
City
Bismarck
State
North Dakota
Zip
58504-5729
Phone Number
701-516-4637
Fax Number
877-651-1381
person
Provider Business Mailing Address Details
Address
600 S 2Nd St Ste 200
City
Bismarck
State
North Dakota
Zip
58504-5729
Phone Number
701-516-4637
Fax Number
877-651-1381
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
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Definition
Definition to come.
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