Organization
PAM PHYSICIAN ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM BURICK (CMO/AUTHORIZED DIRECTOR)
(717) 317-9313
Entity
Organization
Contact information
Practice address
4671 38TH ST S, FARGO, ND 58104-7866
(701) 540-9544
Mailing address
PO BOX 206478, DALLAS, TX 75320-1233
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
08/31/2022
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