NPI | 1578907655 |
---|---|
Doing Business As | ESSENTIA HEALTH 32ND AVENUE CLINIC |
Entity Type | Organization |
Authorized Contact | ALAN J HURLEY COO 701-364-7667 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-04-19 |
Last Update Date | 2024-03-01 |