Organization
RAY FAMILY MEDICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENNA L HUDSON PA-C (OWNER/PHYSICIAN ASSISTANT)
(170) 136-0158
Entity
Organization
Contact information
Practice address
6439 115TH AVE NW, SUITE 2, RAY, ND 58849-4900
(701) 568-2796
(701) 568-5649
Mailing address
PO BOX 798, RAY, ND 58849-0798
(701) 568-2796
(701) 568-5649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
09/28/2022
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