Individual
TAREK A DUFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 N 8TH ST, BISMARCK, ND 58501-4445
(701) 222-6100
(701) 222-6150
Mailing address
500 N 8TH ST, BISMARCK, ND 58501-4445
(701) 222-6100
(701) 222-6150
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
11147
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356585293
BLUECROSS BLUESHIELD
ND
05
—
14991
—
ND
01
—
P00779537
PALMETTO MEDICARE
ND
Enumeration date
04/22/2009
Last updated
06/27/2011
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