Individual
JAMES W NAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2441
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2441
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
29238
MN
207Y00000X
Otolaryngology Physician
Primary
4554
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000328
MEDICA
—
05
—
13726
—
ND
01
—
30T56NA
BCBS
—
05
—
492705200
—
MN
01
—
585241029607
PREFERRED ONE
—
Enumeration date
05/15/2006
Last updated
11/30/2011
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