GREAT PLAINS WOMEN'S HEALTH CENTER PC NPI 1144277484

NPI Information

GREAT PLAINS WOMEN'S HEALTH CENTER PC is an obstetrics gynecology in Williston, ND. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GREAT PLAINS WOMEN'S HEALTH CENTER PC NPI is 1144277484. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 11TH ST W
WILLISTON, ND
ZIP 58801-500
Phone: (701) 774-7687
Fax: (701) 572-1695

The provider's authorized official is Beverly J Tong .
The authorized official title is Co-owner and has the following contact phone number (701) 774-7687.

The CLIA number assigned to this NPI record is 35D1056040 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/30/2006 and was last updated on 11/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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