Individual
MARY C SAUNDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2801 UNIVERSITY DR S, FARGO, ND 58103-6029
(701) 234-5673
(701) 234-7195
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAC0219
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71094
—
ND
Enumeration date
07/24/2006
Last updated
11/02/2012
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