Organization · Type 2 NPI

Evernorth Care Providers - Arizona PC

General Practice Physician · Fargo, ND

NPI number 1952164196 Active

Practice location

1531 32nd Ave S Ste 102
Fargo, ND 58103-5911

Fax (312) 564-4059

Mailing address

730 Cool Springs Blvd Ste 500
Franklin, TN 37067-7331

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1952164196

Evernorth Care Providers - Arizona PC's National Provider Identifier is 1952164196, issued on Jan 31, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fargo, ND. The record was last updated on Jan 31, 2024.