Organization · Type 2 NPI

Sanford Medical Center Fargo

Pediatrics Physician · Fargo, ND

NPI number 1942580246 Active

Practice location

2701 13th Ave S
Fargo, ND 58103-3602

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

43 other providers at this address

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NPI record

NPI: 1942580246
Entity type: Organization (Type 2)
Issued: Aug 18, 2011
Last updated: Nov 27, 2023
Status: Active

Other names

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Sanford Children's Southwest Clinic · doing business as
Sanford Children's Southwest Clinic · doing business as

Authorized official

Martha Leclerc
Vice President
(701) 234-6248

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1942580246

Sanford Medical Center Fargo's National Provider Identifier is 1942580246, issued on Aug 18, 2011. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Fargo, ND. The record was last updated on Nov 27, 2023.