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Organization
MEDALLUS & VACHAROTHONE LTD
Active
Organization
MEDALLUS & VACHAROTHONE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHOT VACHAROTHONE MD (CEO)
(801) 260-1919
Entity
Organization
Contact information
Practice address
721 1ST AVE S UNIT A, JAMESTOWN, ND 58401
(877) 633-9110
Mailing address
721 A 1ST AVE SOUTH, JAMESTOWN, ND 58401
(701) 368-4380
(701) 540-6818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/26/2017
Last updated
06/16/2026
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