NPI 1720633373

Mark E Domaas LLC

Organisation Primary Podiatric Medicine Podiatrist Fargo, ND

Practice location

Address: 4450 31st Ave S STE 102, Fargo, ND 58104-4557
Phone: (763) 218-4771
Fax: (701) 205-4593

Authorised official

Name: Mark Edward Domaas
Title: President
Phone: (701) 561-3312

Registered specialties

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X

Other Podiatrist providers in North Dakota →

Registry record

NPI: 1720633373
Entity type: Organization
NPI issued: 9 Aug 2019
Record last updated: 28 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.