| NPI | 1093150294 |
|---|---|
| Doing Business As | HEALTHSOURCE OF BISMARCK SOUTH |
| Entity Type | Organization |
| Authorized Contact | CARLYLE WILLIAM SCOTT General Partner 701-751-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 946) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |