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Spirit Lake Tribe
Diagnostic Radiology Physician in Fort Totten, North Dakota
NPI 1912458407

Spirit Lake Tribe is a Diagnostic Radiology Physician based in Fort Totten, ND and is specialized in Diagnostic Radiology. Spirit Lake Tribe practices in Fort Totten, ND. The NPI Number for Spirit Lake Tribe is 1912458407 and holds a License No. (North Dakota).

The current practice location address for Spirit Lake Tribe is 3883 74Th Ave Ne, Fort Totten, ND and can be reached out via phone at 701-766-1600 and via fax at 701-766-1630. You can also correspond with Spirit Lake Tribe through the mailing address at PO BOX 309, FORT TOTTEN, ND - 58335-0309 (mailing address contact number: 701-766-1600).

Location: 3883 74Th Ave Ne, Fort Totten, ND, 58335-0309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912458407
Provider Name
Spirit Lake Tribe
Credential
Provider Entity Type
Organization
Address
3883 74Th Ave Ne, Fort Totten, ND, 58335-0309
Phone Number
701-766-1600
Fax Number
701-766-1630
Provider Enumeration Date
10/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3883 74Th Ave Ne
City
Fort Totten
State
North Dakota
Zip
58335
Phone Number
701-766-1600
Fax Number
701-766-1630
person
Provider Business Mailing Address Details
Address
Po Box 309
City
Fort Totten
State
North Dakota
Zip
58335-0309
Phone Number
701-766-1600
Fax Number
701-766-1630
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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