Disa L.g. Awah DO

NPI 1174838650 - Internal Medicine - 207R00000X

NPI Details
NPI 1174838650
Gender Female
Enumeration Date 08/09/2010
Last Updated 02/25/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
400 BURDICK EXPY E
MINOT ND, 58701-4768, US
Phone (701) 857-7969
Fax (701) 857-7957
Business Location
PO BOX 5010
MINOT ND, 58702-5010, US
Phone (701) 857-5650
Fax (701) 854-5031
Toxanomy
Taxonomy Code 207R00000X
License State North Dakota
License Number 13345
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According to our database, Disa L.g. Awah DO NPI is 1174838650, taxonomy code is 207R00000X and license number is 13345, license state is located at North Dakota. Disa L.g. Awah DO physically located at 400 Burdick Expy E, Minot ND, 58701-4768. NPI Number Disa L.g. Awah DO has the Individual type.

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1174838650 NPI number is provided on an as is basis without warranty of any kind. 1174838650 is maintained by the National Plan & Provider Enumeration System. The contents of Disa L.g. Awah DO are for informational purposes only.