Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 12010 | ND |
N | 207VX0000X | Obstetrician | 58.002567 | OH |
NPI | 1336304906 |
---|---|
Provider Name | Mr. John David Amsbury |
First Address | Minot, ND 58702-5010 |
Second Address | Minot, ND 58701-4768 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2008 |
Last Update Date | 07/09/2012 |