| NPI | 1649162413 |
|---|---|
| Doing Business As | THE ENDOURA EFFECT |
| Entity Type | Organization |
| Authorized Contact | JILLIAN SIMON CEO 651-491-4946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |