Valley Medical Clinic PC
NPI #1164537569 in Fargo, North Dakota
Provider Information
- NPI Number
- 1164537569
- Entity Type
- Organization
- Organization Name
- Valley Medical Clinic PC
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- Aug 19, 2006
- Last Updated
- Apr 2, 2015
Practice Location
- Address
- 300 MAIN AVE
- Address 2
- STE 200
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-1930
- Phone
- (701) 297-0817
Authorized Official
- Name
- MR. PANJINI M SIVANNA, M.D.
- Title
- PRESIDENT
- Phone
- (701) 297-0817
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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