| NPI | 1639367121 |
|---|---|
| Doing Business As | HEALTHSOURCE OF FARGO-MOORHEAD |
| Entity Type | Organization |
| Authorized Contact | MASON JOE ORTH Owner 701-451-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2009-06-03 |