Whalio Doctors

NPI 1336146703

Scott J Fillmore, MD

Practitioner Physical Medicine & Rehabilitation Physician Fargo, ND

Practice location

Address
801 Broadway N, Fargo, ND 58102-3641
Phone
(701) 234-2203
Fax
(701) 234-2899

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 5962 (ND)
Rehabilitation Practitioner
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence H9633 (TX)

Registry record

NPI
1336146703
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jun 2005
Record last updated
18 Jan 2012

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.