Jason C Myrmoe
Family Doctor
2400 32nd Ave S
Fargo
, North Dakota 58103-5800
Jason C Myrmoe
Family Doctor
2400 32nd Ave S
Fargo
, North Dakota 58103-5800
(701) 234-8779
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Jason C Myrmoe
- 2400 32nd Ave S
- Fargo, ND
- Zip : 58103-5800
- Phone : (701) 234-8779
Second Address
- Jason C Myrmoe
- 2400 32nd Ave S
- Fargo, ND
- Zip : 58103-5800
- Phone : (701) 234-8779
Reviews
FAQs
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Is Jason C Myrmoe a sole practitioner?
Is Jason C Myrmoe accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 12073 | ND |
National Provider Identifier
| NPI | 1003076894 |
|---|---|
| Provider Name | Jason C Myrmoe |
| First Address | Fargo, ND 58103-5800 |
| Second Address | Fargo, ND 58103-5800 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2008 |
| Last Update Date | 29/12/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.