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Organization
A FOOT DOCTOR, PLLC
Active
Organization
A FOOT DOCTOR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE MORGAN DPM (PRESIDENT)
(701) 232-0900
Entity
Organization
Contact information
Practice address
2631 12TH AVE S, FARGO, ND 58103-8741
(701) 232-0900
Mailing address
2631 12TH AVE S, FARGO, ND 58103-8741
(701) 232-0900
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
52
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03N87MO
BLUE SHIELD MN GROUP
MN
01
—
06796001
BLUE SHIELD GROUP
ND
01
—
126502
HEALTHPARTNERS HPFIN
MN
05
—
13725
—
ND
01
—
2700617
MEDICA
MN
01
—
P00320486
RAILROAD MEDICARE
—
Enumeration date
04/14/2008
Last updated
08/02/2010
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