NPI 1962856161
Pam Physician Enterprise
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
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.