NPI 1548023690 · live from the CMS NPI Registry
Justis Caldwell
Physician Assistant in Fargo, ND. National Provider Identifier 1548023690, active.
NPI record
| NPI | 1548023690 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 321 8th Ave N, Fargo, ND 58102 |
| Practice phone | 701-234-2525 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | February 1, 2024 |
| Last updated | September 9, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.