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Organization
URGENT CARE DOCTORS OFFICE, PA
Active
Organization
URGENT CARE DOCTORS OFFICE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE YOUNG (BUSINESS MANAGER)
(952) 401-8290
Entity
Organization
Contact information
Practice address
800 PRAIRIE CENTER DR, 120, EDEN PRAIRIE, MN 55344-7328
(952) 401-8290
(952) 401-8243
Mailing address
800 PRAIRIE CENTER DR, 120, EDEN PRAIRIE, MN 55344-7328
(952) 401-8290
(952) 401-8243
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004730
PREFERRED ONE
MN
01
—
120793
UCARE
MN
01
—
1M753CH
BLUE CROSS BLUE SHIELD
MN
01
—
22255
AMERICAS PPO
MN
01
—
22420
HEALTH PARTNERS
MN
05
—
414513500
—
MN
01
—
6627123
MEDICA HEALTH PLANS
MN
Enumeration date
05/22/2006
Last updated
12/20/2012
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