Individual
STEPHANIE FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 312-9802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R74044
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
57715
AZ
207RP1001X
Pulmonary Disease Physician
57715
AZ
Other
Enumeration date
05/27/2013
Last updated
10/16/2023
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