-- TAYLOR FONTAINE -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1033593025- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1800 21ST AVE S, FARGO, ND, 581035759
- Phone
- (701) 365-8700
- Fax
- (701) 365-8701
Specialties & Taxonomies
Physician Assistant
License: MN #11875
Physician Assistant
Primary License: ND #PAC0603