Internal Medicine Associates, Ltd.

NPI #1275675118 in Fargo, North Dakota

Provider Information

NPI Number
1275675118
Entity Type
Organization
Organization Name
Internal Medicine Associates, Ltd.
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX,INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 13, 2007
Last Updated
Oct 17, 2012

Practice Location

Address
1707 GOLD DR S
Address 2
SUITE 101
City
Fargo
ZIP Code
58103-6413
Phone
(701) 280-2033

Authorized Official

Name
KENNY HEINE
Title
DIR. OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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