Organization
BECOMING BALANCED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L MARKEL (CREDENTIALING & BILLING MANAGER)
(701) 205-4533
Entity
Organization
Contact information
Practice address
3125 41ST ST S, FARGO, ND 58104-8666
(701) 371-9083
Mailing address
3453 INTERSTATE BLVD S STE B, FARGO, ND 58103-2213
(701) 540-5487
(701) 205-4593
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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