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Contact Information

PHILLIP A DEWEY, PA
1720 UNIVERSITY DR S
FARGO, ND58103-4940
 Phone: 701-417-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PHILLIP A DEWEY · (Male)

NPI # 1033445093
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/27/2009
Last updated 08/22/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085005463
  • ND License # PAC0440
  • OH License # PENDING
Hospital affiliation(s)
  • MEMORIAL HOSPITAL OF CARBONDALE - (Acute Care)
    405 W JACKSON
    CARBONDALE, IL 62902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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