| NPI | 1578918124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJID GHAZI President 701-551-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: ND 9776) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2017-10-12 |