Individual
PELAGIA E KOULOUMBERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2575
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
17057
ND
207T00000X
Neurological Surgery Physician
52549
AZ
Other
Enumeration date
09/22/2008
Last updated
04/09/2024
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