| NPI | 1407341217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE MARKEL Account Manager 701-205-4533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| 208600000X Surgery (Licence: ND PT15122) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2019-08-16 |