Individual
THOMAS R MAGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 32ND AVENUE SOUTH, FARGO, ND 58103-6132
(701) 364-8000
Mailing address
900 E BROADWAY AVE, P.O. BOX 997, BISMARCK, ND 58502-0997
(701) 530-7000
(701) 530-8842
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
65083
MN
207P00000X
Emergency Medicine Physician
Primary
6998
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18102
—
ND
01
—
P00081325
RR MEDICARE
ND
Enumeration date
07/25/2006
Last updated
10/24/2019
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