Organization
STEVEN C. KOURAJIAN, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN CHARLES KOURAJIAN (OPTOMETRIST)
(701) 324-2154
Entity
Organization
Contact information
Practice address
901 LINCOLN AVE, HARVEY, ND 58341-1523
(701) 324-2154
(701) 324-2160
Mailing address
901 LINCOLN AVE, HARVEY, ND 58341-1523
(701) 324-2154
(701) 324-2160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ND 408
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01625001
BLUE CROSS BLUE SHIELD
ND
05
—
60604
—
ND
Enumeration date
11/13/2007
Last updated
01/18/2008
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