Staci Jean Fogarty D.C.

NPI 1033375662 - Chiropractor - 111N00000X

NPI Details
NPI 1033375662
Gender Female
Enumeration Date 08/04/2008
Last Updated 06/01/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
1350 20TH AVE SW
MINOT ND, 58701-6452, US
Phone (701) 852-2800
Fax (701) 837-0175
Business Location
1350 20TH AVE SW
MINOT ND, 58701-6452, US
Phone (701) 852-2800
Fax (701) 837-0175
Toxanomy
Taxonomy Code 111N00000X
License State North Dakota
License Number 820
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According to our database, Dr. Staci Jean Fogarty D.C. NPI is 1033375662, taxonomy code is 111N00000X and license number is 820, license state is located at North Dakota. Staci Jean Fogarty D.C. physically located at 1350 20th Ave Sw, Minot ND, 58701-6452. NPI Number Staci Jean Fogarty D.C. has the Individual type.

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1033375662 NPI number is provided on an as is basis without warranty of any kind. 1033375662 is maintained by the National Plan & Provider Enumeration System. The contents of Staci Jean Fogarty D.C. are for informational purposes only.