Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 7784 | ND |
NPI | 1013015783 |
---|---|
Provider Name | Todd A Twogood |
First Address | Bismarck, ND 58506-5501 |
Second Address | Bismarck, ND 58501-4436 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 14/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10332 | (05) | ND |
G52359 | (02) | ND |