NPI 1164537569

Valley Medical Clinic PC

Organisation Pain Medicine (Anesthesiology) Physician Fargo, ND

Practice location

Address: 300 Main Ave STE 200, Fargo, ND 58103-1930
Phone: (701) 297-0817
Fax: (701) 297-6870

Authorised official

Name: Panjini M Sivanna
Title: President
Phone: (701) 297-0817

Registered specialties

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 4806 (ND)

Other Anesthesiology providers in North Dakota →

Registry record

NPI: 1164537569
Entity type: Organization
NPI issued: 19 Aug 2006
Record last updated: 2 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.