| NPI | 1780707836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATTAS BOUTROUS President 701-223-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-09-24 |