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Organization

DAKOTA ADULT & PEDIATRIC PSYCHIATRY

Active
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Organization

DAKOTA ADULT & PEDIATRIC PSYCHIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLAS JAMES HESS DO (PRESIDENT)
(701) 552-6578
Entity
Organization

Contact information

Practice address
4541 52ND AVE S, STE 100, FARGO, ND 58104-5565
(701) 552-6578
(701) 380-5115
Mailing address
4541 52ND AVE S, STE 100, FARGO, ND 58104-5565
(701) 552-6578
(701) 380-5115

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician
261QM2500X
Medical Specialty Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1679864441
NPI
Enumeration date
09/13/2021
Last updated
02/16/2024
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