NPI | 1053591537 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN CHARLES KOURAJIAN Optometrist 701-324-2154 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: ND ND 408) |
Enumeration Date | 2007-11-13 |
Last Update Date | 2008-01-18 |