Individual
DR. JASON ALLEN BURUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.,D.P.T.
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8700
Mailing address
1609 29TH AVE S, FARGO, ND 58103-5922
(701) 241-8516
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
952
ND
Other
Enumeration date
05/14/2007
Last updated
09/08/2008
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