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NPI Code Detail

MEDICARE: DR. DAVID IAN COVINGTON MD FACEP

MEDICARE: DR. DAVID IAN COVINGTON MD FACEP
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
1207P00000XEmergency Medicine Physician31443MN

General Provider Information

NPI Number : 1083689046
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID IAN COVINGTON MD FACEP
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number : 320-255-5657
Fax Number :
Provider Business Practice Location Address
First Line : 5225 23RD AVE S
Second Line :
City : FARGO
State : ND
Zip : 58104-7927
Country : US
Telephone Number : 701-417-2575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 07/06/2022

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