IndividualActive
Justin Cavanaugh
NPI 1629846936 · Driver · Fort Totten, ND
Provider details
- NPI number
- 1629846936
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
7527 Ephriam Hill Road
Fort Totten, ND 58335
Phone: (701) 766-4285
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 88
Fort Totten, ND 58335-0088
Registry dates
- Enumerated
- 2023-12-15
- Last updated
- 2023-12-15
- Certified
- 2023-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.