Individual
DR. AMADOR MONTES DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 4TH ST SO, FARGO, ND 58103
(701) 476-7200
(701) 280-5795
Mailing address
510 4TH ST SO, FARGO, ND 58103
(701) 476-7200
(701) 280-5795
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7907
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10740
—
ND
Enumeration date
11/01/2006
Last updated
07/08/2007
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