Individual
MATTHEW THOMAS OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 SOUTH UNIVERSITY HOSPITAL, FARGO, ND 58103
(701) 417-6000
Mailing address
3223 32ND AVE S, FARGO, ND 58103-6297
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
940-22
ND
Other
Enumeration date
04/02/2019
Last updated
09/23/2025
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