NPI 1609606805

Sunrise Youth Services INC

Organisation General Practice Physician Fargo, ND

Practice location

Address: 112 University Dr N STE L140, Fargo, ND 58102-4635
Phone: (701) 639-3356

Authorised official

Name: Mason Andrew Peterson
Title: Chief Executive Officer
Phone: (701) 639-3356

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in North Dakota →

Registry record

NPI: 1609606805
Entity type: Organization
NPI issued: 3 Aug 2024
Record last updated: 3 Aug 2024

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.