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Organization
DR.SAMIR FARAH MD,PC
Active
Organization
DR.SAMIR FARAH MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA M JACOBSON (BILLING MANAGER)
(218) 362-6761
Entity
Organization
Contact information
Practice address
20 BURDICK EXPY W, MINOT, ND 58701-4498
(701) 852-5236
Mailing address
750 E 34TH ST, HIBBING, MN 55746-2341
(218) 362-6683
(218) 362-6684
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
3820
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10322
—
ND
01
—
1150001
BLUE CROSS BLUE SHIELD
ND
01
—
DG6885
RAILROAD MEDICARE
ND
Enumeration date
03/15/2007
Last updated
04/02/2008
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