Health Source of Williston P.c.

NPI #1740502046 in Williston, North Dakota

Provider Information

NPI Number: 1740502046
Entity Type: Organization
Organization Name: Health Source of Williston P.c.
Primary Specialty: Chiropractor
Enumeration Date: Feb 28, 2010
Last Updated: Jan 14, 2014

Practice Location

Address: 20 W BROADWAY
City: Williston
State: North Dakota
ZIP Code: 58801-6015
Phone: (701) 774-3635

Authorized Official

Name: DR. ERIC RICHARD NELSON, D.C.
Title: PRESIDENT
Phone: (701) 774-3635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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