Legacy Primary Care Pllc
NPI #1265277115 in Grand Forks, North Dakota
Provider Information
- NPI Number
- 1265277115
- Entity Type
- Organization
- Organization Name
- Legacy Primary Care Pllc
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- Jul 1, 2024
- Last Updated
- Jul 1, 2024
Practice Location
- Address
- 2100 S COLUMBIA RD STE 114
- City
- Grand Forks
- State
- North Dakota
- ZIP Code
- 58201-5895
- Phone
- (701) 516-4637
Authorized Official
- Name
- HEIDI WILLIAMS
- Title
- CRED SPEC
- Phone
- (605) 846-8239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adult Medicine — Adult Medicine |
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