Provider First Line Business Practice Location Address:
OPTIMUM THERAPIES OF NORTH DAKOTA. INC
Provider Second Line Business Practice Location Address:
4204 BOULDER RIDGE RD, SUITE 100
Provider Business Practice Location Address City Name:
BISMARK
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58503-6162
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-751-3064
Provider Business Practice Location Address Fax Number:
701-751-2265
Provider Enumeration Date:
11/10/2015