Organization
ADVANCED ORTHOPEDICS OF ND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG R. KOVACS D.O. (PRESIDENT)
(701) 456-3819
Entity
Organization
Contact information
Practice address
47 8TH ST W, DICKINSON, ND 58601-3951
(701) 456-3819
(701) 456-3815
Mailing address
47 8TH ST W, DICKINSON, ND 58601-3951
(701) 456-3819
(701) 456-3815
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18784
—
ND
01
—
698001
BLUE CROSS BLUE SHIELD
ND
01
—
CG0854
RAILROAD MEDICARE
ND
Enumeration date
01/25/2006
Last updated
01/29/2008
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