Individual
BURTON S BELKNAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4372
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300103
MEDICA #
ND
01
—
0300189
MEDICA #
ND
05
—
13272
—
ND
01
—
141995
UCARE#
ND
01
—
23469
SIOUX VALLEY #
ND
01
—
75
NDBS #
ND
05
—
829897100
—
ND
01
—
900329
AMERICA'S PPO/ARAZ #
ND
01
—
FS9011015508
PREFERRED ONE #
ND
01
—
HP25705
HEALTHPARTNERS #
ND
01
—
ND200002
LHS #
ND
Enumeration date
07/08/2006
Last updated
03/07/2023
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