| NPI | 1750661054 |
|---|---|
| Doing Business As | SANFORD BROADWAY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTHA LECLERC Vice President 701-234-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| 204F00000X Transplant Surgery | |
| 207K00000X Allergy & Immunology | |
| 207L00000X Anesthesiology | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 207ZP0101X Pathology, Anatomic Pathology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2023-11-27 |