Provider First Line Business Practice Location Address:
1000 S COLUMBIA RD
Provider Second Line Business Practice Location Address:
ALTRY HEALTH SYSTEM
Provider Business Practice Location Address City Name:
GRAND FORKS
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58206-6002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-780-2551
Provider Business Practice Location Address Fax Number:
701-780-2328
Provider Enumeration Date:
12/18/2006