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Organization

VALLEY BARIATRIC & WELLNESS CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT M HELLA MD (MEDICAL DIRECTOR)
(701) 365-8446
Entity
Organization

Contact information

Practice address
1707 GOLD DR S, SUITE 101, FARGO, ND 58103-6413
(701) 365-8446
(701) 365-0808
Mailing address
1707 GOLD DR S, SUITE 101, FARGO, ND 58103-6413
(701) 365-8446
(701) 365-0808

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
8491
ND

Other

Enumeration date
04/16/2008
Last updated
04/16/2008
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