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NPI Code Detail

MEDICARE: SCOTT WOKEN

MEDICARE: SCOTT WOKEN
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
12255A2300XAthletic Trainer057-88ND

General Provider Information

NPI Number : 1033529680
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT WOKEN
Provider Business Mailing Address
First Line : 1600 UNIVERSITY DR N
Second Line : PO BOX 6050
City : FARGO
State : ND
Zip : 58105-2502
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 UNIVERSITY DR N
Second Line :
City : FARGO
State : ND
Zip : 58105-2502
Country : US
Telephone Number : 701-231-7779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2014
Last Update Date : 05/05/2014

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Directions to “ SCOTT WOKEN ” Practice Location

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