Individual
MARK W KLABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
570 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-3145
(701) 845-6400
(701) 845-6466
Mailing address
570 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-3145
(701) 845-6400
(701) 845-6466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0391
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PAC0391
LICENSE
ND
Enumeration date
06/16/2008
Last updated
07/20/2011
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