Organization
STEVEN M BAGAN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN M BAGAN M.D. (OWNER)
(701) 293-8242
Entity
Organization
Contact information
Practice address
4344 20TH AVE S, FARGO, ND 58103-7436
(701) 293-8242
(701) 293-0909
Mailing address
4344 20TH AVE S, FARGO, ND 58103-7436
(701) 293-8242
(701) 293-0909
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
443
ND
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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