Organization
FARGO PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A. G. SAMPSON MD (OWNER)
(701) 293-7408
Entity
Organization
Contact information
Practice address
3280 20TH ST S, FARGO, ND 58104-5917
(701) 293-7408
(701) 235-2099
Mailing address
3280 20TH ST S, FARGO, ND 58104-5917
(701) 293-7408
(701) 235-2099
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
ND
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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