# PRIMECARE PHYSICIANS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PrimeCare Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336058064
- **Authorized official:** FARDOWS O SALIM MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (952) 314-4448

## Contact information

- **Practice address:** 1701 AMERICAN BLVD E STE 4, BLOOMINGTON, MN 55425-1402
- **Practice address phone:** (952) 314-4448
- **Practice address fax:** (952) 866-9300
- **Mailing address:** 8449 ALDRICH AVE S, BLOOMINGTON, MN 55420-2214
- **Mailing address phone:** (952) 314-4448
- **Mailing address fax:** (952) 866-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | — | — |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 09/07/2026
- **Last updated:** 09/30/2026