Whalio Doctors

NPI 1275675118

Internal Medicine Associates, LTD.

Organisation Non-Pharmacy Dispensing Site Fargo, ND

Practice location

Address
1707 Gold Dr S Suite 101, Fargo, ND 58103-6413
Phone
(701) 280-2033
Mailing address
5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705

Authorised official

Name
Kenny Heine
Title
Dir. of Operations
Phone
(858) 625-2990

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 4830 (ND)

Registry record

NPI
1275675118
Entity type
Organization
NPI issued
13 Feb 2007
Record last updated
17 Oct 2012

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.