| NPI | 1811617103 |
|---|---|
| Other Name | SANNY AND JERRY RYAN CENTER FOR PREVENTION AND GENETICS |
| Entity Type | Organization |
| Authorized Contact | TERESA MOE Director Of Payor Contracting 701-780-5221 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |