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Individual

DR. RAY FONTENOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 3RD AVE SW, MINOT, ND 58701-3880
(701) 857-5986
(701) 857-5029
Mailing address
101 3RD AVE SW, MINOT, ND 58701-3880

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
17541
ND
207Y00000X
Otolaryngology Physician
Primary
H1081
TX
207Y00000X
Otolaryngology Physician
PT17541
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128721103
TX
Enumeration date
02/20/2006
Last updated
04/13/2023
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