Provider Demographics
NPI:1689619470
Name:HOWDEN, RICHARD L (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:L
Last Name:HOWDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-364-3300
Mailing Address - Fax:701-364-8906
Practice Address - Street 1:1401 13TH AVE E
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-3468
Practice Address - Country:US
Practice Address - Phone:701-364-5751
Practice Address - Fax:701-364-5750
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ND7371207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND35Q07HOOtherMNBS #
ND0105988OtherMEDICA #
ND0108579OtherMEDICA #
ND3711OtherSIOUX VALLEY #
ND0111381OtherMEDICA #
ND35T42HOOtherMNBS #
ND901356OtherAMERICA'S PPO/ARAZ #
ND142016OtherUCARE #
NDDA9011015634OtherPREFERRED ONE #
ND13895OtherNDBS #
ND18836Medicaid
ND35T41HOOtherMNBS #
ND0108563OtherMEDICA #
ND26T06HOOtherMNBS #
ND509514000Medicaid
NDHP19493OtherHEALTHPARTNERS #
NDND100036OtherLHS #
ND3711OtherSIOUX VALLEY #
ND142016OtherUCARE #
ND26T06HOOtherMNBS #