| NPI | 1164537569 |
|---|---|
| Former Legal Business Name | VALLEY INTERNAL MEDICINE ASSOC |
| Entity Type | Organization |
| Authorized Contact | PANJINI M SIVANNA President 701-297-0817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: ND 4806) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2015-04-02 |