NPI 1629846936
Justin Cavanaugh
Practice location
- Address
- 7527 Ephriam Hill Road, Fort Totten, ND 58335
- Phone
- (701) 766-4285
- Mailing address
- PO Box 88, Fort Totten, ND 58335-0088
Registered specialties
Driver
Primary
Registry record
- NPI
- 1629846936
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Dec 2023
- Record last updated
- 15 Dec 2023
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.