NPI 1699216945

Prairie Sinus Ear & Allergy PC

Organisation Otolaryngology Physician Bismarck, ND

Practice location

Address: 3000 N 14th St 3rd Floor, Bismarck, ND 58503-0697
Phone: (701) 630-0100
Mailing address: PO Box 1215, Bismarck, ND 58502-1215

Authorised official

Name: Jay D Raisen
Title: Owner
Phone: (701) 630-0100

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 11025 (ND)

Other Otolaryngology providers in North Dakota →

Registry record

NPI: 1699216945
Entity type: Organization
NPI issued: 19 Mar 2017
Record last updated: 21 Mar 2017

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.