PROMIL BHUTANI MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1164581625- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2101 ELM ST N, FARGO, ND, 581022417
- Phone
- (701) 335-4380
Specialties & Taxonomies
Family Medicine
License: NM #MD2006-0509
Family Medicine
Primary License: MN #52748