Individual provider · NPI-1
William R Austin, MD
Radiology, Diagnostic Radiology · Fargo, ND
NPI number1881633634
StatusActive
Last updated in NPPESMar 25, 2022
Details
- NPI
- 1881633634
- Entity type
- Individual (NPI-1)
- Name
- William R Austin
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2006
- Certification date
- Mar 25, 2022
- Last updated
- Mar 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 4455 | ND | Yes |
| 207Q00000X | Family Medicine | 4816 | AK |
Practice location
801 Broadway NFargo, ND 58102-3641
Phone 701-234-5015
Mailing address
801 Broadway NFargo, ND 58102-3641
Phone 701-234-5015
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