PHYLLIS EASON

FARGO, ND
NPI1174596746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: ND  PT12912)
Additional Taxonomies2084P0800X Psychiatry & Neurology Psychiatry
(Licence: GA  043926)
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: WI  71925)
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MO  2015042689)
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: WA  MD61499166)
Enumeration Date2006-02-13
Last Update Date2024-06-25
Business Address
PHYLLIS EASON M.D.
100 4TH ST S
FARGO, ND 58103-1929
Phone number: 701-234-3100
Mailing Address
PHYLLIS EASON M.D.
PO BOX 2168
FARGO, ND 58107-2168
Phone number: 701-234-2119