Individual
BENJAMIN LUKE SPURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
1711 6TH ST S, MOORHEAD, MN 56560-3438
(218) 477-2889
Mailing address
2751 36TH AVE S APT 302, FARGO, ND 58104-8825
(641) 208-6449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3468
MN
2255A2300X
Athletic Trainer
767-17
ND
Other
Enumeration date
10/11/2016
Last updated
01/23/2024
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