Ashley Clinic P C Tinsa

NPI #1063525103 in Ashley, North Dakota

Provider Information

NPI Number: 1063525103
Entity Type: Organization
Organization Name: Ashley Clinic P C Tinsa
Primary Specialty: General Practice
Enumeration Date: Aug 15, 2006
Last Updated: Mar 9, 2015

Practice Location

Address: 612 CENTER AVE N
City: Ashley
State: North Dakota
ZIP Code: 58413-7013
Phone: (701) 288-3431

Authorized Official

Name: UDOM TINSATUL, MD
Title: PRESIDENT
Phone: (701) 288-3431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
General Practice	208D00000X	Primary

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