Individual
DR. SCOTT EDWARD OMDALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
45 1ST AVE SE, MAYVILLE, ND 58257
(701) 786-4024
(701) 786-4034
Mailing address
45 1ST AVE SE, MAYVILLE, ND 58257
(701) 786-4024
(701) 786-4034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
486
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16235
—
ND
01
—
24295
BCBS
ND
Enumeration date
09/29/2006
Last updated
07/08/2007
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