Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK E DOMAAS LLC
Active OrganizationMARK E DOMAAS LLC is a Radiology Podiatrist organization located in FARGO, North Dakota. NPI 1720633373 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · FARGO, ND
Registration Details
- NPI Number
- 1720633373
- Provider Type
- Organization
- NPI Issued
- Aug 9, 2019 (7.041199950392 yrs)
- Last Updated
- Apr 28, 2020
Practice Information
- Address
-
4450 31ST AVE S STE 102FARGO, ND, 581044557Browse ND providers · Browse ZIP 58104
- Phone
- 7632184771
- Fax
- 7012054593
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.