| First Light Lifestyle Medical Clinic Pllc | |
|
30 7th St W Ste Ll-50 Dickinson ND 58601-4335 | |
| (701) 483-6974 | |
| Not Available |
| Full Name | First Light Lifestyle Medical Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 30 7th St W Ste Ll-50, Dickinson, North Dakota |
| Authorized Official Name and Position | Volney Willett (PRESIDENT) |
| Authorized Official Contact | 7014836974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Light Lifestyle Medical Clinic Pllc 30 7th St W Ste Ll-50 Dickinson ND 58601-4335 Ph: (701) 483-6974 | First Light Lifestyle Medical Clinic Pllc 30 7th St W Ste Ll-50 Dickinson ND 58601-4335 Ph: (701) 483-6974 |
| NPI Number | 1801512819 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801512819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medcenter One Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 938 2nd Ave W, Dickinson, ND 58601 Phone: 701-456-6000 Fax: 701-323-5709 | |
Community Action Partnership Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 E Villard St, Dickinson, ND 58601 Phone: 701-227-0131 Fax: 701-227-4750 | |
Sanford Bismarck Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 9th St W, Dickinson, ND 58601 Phone: 701-483-6017 Fax: 701-483-5018 | |
St Joseph's Hospital And Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2500 Fairway St, Dickinson, ND 58601 Phone: 701-456-4200 Fax: 701-456-4849 |