Organization
HEALTH SOURCE OF WILLISTON P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC RICHARD NELSON D.C. (PRESIDENT)
(701) 774-3635
Entity
Organization
Contact information
Practice address
20 W BROADWAY, WILLISTON, ND 58801-6015
(701) 774-3635
Mailing address
20 W BROADWAY, WILLISTON, ND 58801-6015
(701) 774-3635
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
855
ND
Other
Enumeration date
02/28/2010
Last updated
01/14/2014
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