Search › North Dakota › 207RI0200X
Sammantha Kouba, DO
NPI 1760877344 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5225 23rd Ave S
Fargo, ND 58104 - Phone
- (701) 417-2575
- Fax
- (701) 417-2535
- Organisation at this address
- Vibra Hospital Of Fargo Llc
Sanford Medical Center Fargo
Sanford Medical Center Fargo
Sanford Medical Center FargoInferred from a shared address, not stated in the registry. - Clinicians at this address
- 380
Additional practice sites
- 736 Broadway N, Fargo, ND
- 200 Hawkins Dr, Iowa City, IA
- 200 Hawkins Dr, Iowa City, IA
- 2800 N. Vancouver Ste 230, Portland, OR
Registry record
- Primary taxonomy
- 207RI0200X
207RI0200X
- Also registered as
- 207R00000X
390200000X - Licence states on file
- IA, OR, ND
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota