Spirit Lake Health Center
NPI #1134303795 in Fort Totten, North Dakota
Provider Information
- NPI Number
- 1134303795
- Entity Type
- Organization
- Organization Name
- Spirit Lake Health Center
- Primary Specialty
- Clinic/Center - Radiology, Mammography
- Enumeration Date
- Dec 19, 2007
- Last Updated
- Dec 19, 2007
Practice Location
- Address
- 3883 74TH AVE NE
- City
- Fort Totten
- State
- North Dakota
- ZIP Code
- 58335-0309
- Phone
- (701) 766-1600
Authorized Official
- Name
- COLETTTE A BYRUM, BSRT(R)(M)
- Title
- MEDICAL INSTRUMENT TECHNOLOGIST
- Phone
- (701) 766-1629
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology, Mammography — Radiology, Mammography |
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