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Organization

CENTER FOR PAIN MEDICINE SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAJID GHAZI MD (PRESIDENT)
(701) 551-6980
Entity
Organization

Contact information

Practice address
2401 41ST ST S STE 102, FARGO, ND 58104-7783
(701) 551-6980
(701) 551-6984
Mailing address
2401 41ST ST S STE 102, FARGO, ND 58104-7783
(701) 551-6980
(701) 551-6984

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
9776
ND
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
05/02/2016
Last updated
10/12/2017
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