Individual
STEPHANIE MOORE CANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
209 N 7TH ST, BISMARCK, ND 58501-4441
(701) 323-5590
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012018498
MO
207R00000X
Internal Medicine Physician
Primary
PT14735
ND
Other
Enumeration date
06/20/2012
Last updated
07/21/2022
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