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Individual

MYRA J QUANRUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
401 3RD ST SE, JAMESTOWN, ND 58401-4247
(701) 253-5300
(701) 253-5402
Mailing address
401 3RD ST SE, JAMESTOWN, ND 58401-4247
(701) 253-5300
(701) 253-5402

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
70000
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A25QU
MNBS #
ND
01
1201183
MEDICA #
ND
01
12426
NDBS #
ND
01
142318
UCARE #
ND
01
14494
NDBS #
ND
05
18047
ND
01
370020540
RR MEDICARE #
ND
01
5T219QU
MNBS #
ND
05
772827100
ND
01
908075
AMERICA'S PPO/ARAZ #
ND
01
DA9061015621
PREFERRED ONE #
ND
01
HP19572
HEALTHPARTNERS #
ND
01
ND100023
LHS #
ND
Enumeration date
06/07/2006
Last updated
08/29/2011
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