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Organization

A FOOT DOCTOR, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRUCE MORGAN DPM (PRESIDENT)
(701) 232-0900
Entity
Organization

Contact information

Practice address
2631 12TH AVE S, FARGO, ND 58103-8741
(701) 232-0900
Mailing address
2631 12TH AVE S, FARGO, ND 58103-8741
(701) 232-0900

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
52
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03N87MO
BLUE SHIELD MN GROUP
MN
01
06796001
BLUE SHIELD GROUP
ND
01
126502
HEALTHPARTNERS HPFIN
MN
05
13725
ND
01
2700617
MEDICA
MN
01
P00320486
RAILROAD MEDICARE
Enumeration date
04/14/2008
Last updated
08/02/2010
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