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NPI Code Detail

MEDICARE: MELISSA A BABCOOK MD PHD

MEDICARE: MELISSA A BABCOOK MD PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician21867ND
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1396206546
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA A BABCOOK MD PHD
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 820 4TH ST N
Second Line :
City : FARGO
State : ND
Zip : 58102-4539
Country : US
Telephone Number : 701-234-6161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2019
Last Update Date : 01/19/2026

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