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Individual

AMANDA ELIZABETH SKIFTUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-6428
Mailing address
2438 N POND DR E, WEST FARGO, ND 58078-7840
(701) 307-0883

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15125
ND
207L00000X
Anesthesiology Physician
R-09947
IA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
R-09947
IA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
R-09947
IA
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
R-09947
IA
207LP2900X
Pain Medicine (Anesthesiology) Physician
R-09947
IA
207LP3000X
Pediatric Anesthesiology Physician
R-09947
IA

Other

Enumeration date
06/02/2014
Last updated
09/13/2018
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