Individual
PHYLLIS ABRAHAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N 24TH ST, BISMARCK, ND 58501-4996
(701) 751-3050
(701) 751-3053
Mailing address
201 N 24TH ST, BISMARCK, ND 58501-4996
(701) 751-3050
(701) 751-3053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0001
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N27107
BLUE SHIELD
ND
Enumeration date
07/01/2006
Last updated
10/28/2014
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