Most Relevant Information
Provider Data
| NPI Number: | 1003044975 |
| Provider Name: | ADAM JOHN DEFOE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0204X |
| Specialty: | Radiology |
| License Number: | PT14891 |
Most Important Dates
| Enumeration Date: | 06/30/2009 |
| Last Updated: | 02/22/2018 |
Provider Practice Location
3000 32ND AVE S
FARGO
ND
581036132
Practice Location Phone/Fax
| Phone: | 7013648000 |
| Fax: |
Provider Mailing Location
1702 UNIVERSITY DR S
FARGO
ND
581034940
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |