Whalio Doctors

NPI 1962856161

Pam Physician Enterprise

Organisation Physical Medicine & Rehabilitation Physician Fargo, ND

Practice location

Address
4671 38th St S, Fargo, ND 58104-7866
Phone
(701) 540-9544
Mailing address
PO Box 206478, Dallas, TX 75320-1233

Authorised official

Name
Adam Burick
Title
Cmo/Authorized Director
Phone
(717) 317-9313

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X

Registry record

NPI
1962856161
Entity type
Organization
NPI issued
14 Apr 2016
Record last updated
31 Aug 2022

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.