VALLEY MEDICAL CLINIC PC NPI 1164537569

NPI Information

VALLEY MEDICAL CLINIC PC is a pain medicine anesthesiology in Fargo, ND. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. VALLEY MEDICAL CLINIC PC NPI is 1164537569. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Valley Internal Medicine Assoc.

The provider's business location address is:

300 MAIN AVE
STE 200
FARGO, ND
ZIP 58103-930
Phone: (701) 297-0817
Fax: (701) 297-6870

The provider's authorized official is Panjini M Sivanna .
The authorized official title is President and has the following contact phone number (701) 297-0817.

The CLIA number assigned to this NPI record is 35D1084648 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 4/2/2015.

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:

Other Identifiers

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