DAISY BOATEY
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1265015176- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 5225 23RD AVE S, FARGO, ND, 581047927
- Phone
- (701) 417-2575
Specialties & Taxonomies
Internal Medicine
Primary License: ND #23908
Internal Medicine
License: MO #2025044732
Hospitalist
License: MO #2025044732