Whalio Doctors

NPI 1003076894

Jason C Myrmoe, MD

Practitioner Family Medicine Physician Fargo, ND

Practice location

Address
2400 32nd Ave S, Fargo, ND 58103-5800
Phone
(701) 234-8779
Mailing address
PO Box 5074, Sioux Falls, SD 57117-5074

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 12073 (ND)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X Licence 0116019619 (VA)

Registry record

NPI
1003076894
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Jun 2008
Record last updated
12 Jan 2024

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.