| NPI | 1396516506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER EDIS CEO 701-444-8609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |