David Edward Allard, MSCED, ATC

Individual provider Active NPI Athletic Trainer · Grand Forks, ND

NPI 1861970600 · NPPES record last updated Aug 3, 2018

Key facts

NPI
1861970600
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
BOC291902 (ND)
Practice address
725 Hamline St
Grand Forks, ND 58203-2819
Phone
(701) 780-6800
NPI assigned
Aug 3, 2018
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BOC291902NDMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X BOC291902 ND Yes

Addresses

Primary practice location

725 Hamline St
Grand Forks, ND 58203-2819

Mailing address

2700 S 34TH St Apt 208
Grand Forks, ND 58201-6049

Other providers in Grand Forks, ND

All providers in Grand Forks, ND · Athletic Trainer in North Dakota

Sources for this page

Verify at the official NPI Registry.