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Organization

WILLISTON RADIOLOGY CONSULTANTS PC

Active
Other names
Fairlight Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESZEK J JASZCZAK M.D. (PRESIDENT)
(701) 577-6337
Entity
Organization

Contact information

Practice address
3 4TH ST E, SUITE 201, WILLISTON, ND 58801-5350
(701) 577-4867
Mailing address
PO BOX 1148, WILLISTON, ND 58802-1148
(701) 577-4867
(701) 577-4867

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7782
ND

Other

Enumeration date
11/24/2006
Last updated
03/13/2020
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