Dr BRENT A ANCONA is a male medical professional, specializing in Internal Medicine. He graduated in 2013 from Chicago College Of Osteopathic Medicine.
INNOVIS HEALTH, LLC
3000 32ND AVE S
FARGO
ND
581036132
Tel: 7013648000
| Npi | 1740615236 |
| Pac Id | 5395031322 |
| Professional Enrollment Id | I20160831000352 |
| Last Name | ANCONA |
| First Name | BRENT |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | HOSPITALIST |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | HOSPITALIST |
| Organization Legal Name | INNOVIS HEALTH, LLC |
| Group Practice Pac Id | 9931298155 |
| Number Of Group Practice Members | 369 |
| Line 1 Street Address | 3000 32ND AVE S |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FARGO |
| State | ND |
| Zip Code | 581036132 |
| Phone Number | 7013648000 |
| Hospital Affiliation Ccn 1 | 350070 |
| Hospital Affiliation Lbn 1 | ESSENTIA HEALTH |
| Hospital Affiliation Ccn 2 | 240101 |
| Hospital Affiliation Lbn 2 | ESSENTIA HEALTH ST MARYS - DETROIT LAKES |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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