Organization
FIRST LIGHT LIFESTYLE MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VOLNEY WILLETT MD (PRESIDENT)
(701) 483-6974
Entity
Organization
Contact information
Practice address
30 7TH ST W STE LL-50, DICKINSON, ND 58601-4335
(701) 483-6974
Mailing address
30 7TH ST W STE LL-50, DICKINSON, ND 58601-4335
(701) 483-6974
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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