Individual
DR. HOORIA MANZOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7400
Mailing address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15573
ND
208M00000X
Hospitalist Physician
15573
ND
390200000X
Student in an Organized Health Care Education/Training Program
MT211598
NY
Other
Enumeration date
06/08/2016
Last updated
07/17/2019
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