Organization · Type 2 NPI

Spirit Lake Tribe

Diagnostic Radiology Physician · Fort Totten, ND

NPI number 1912458407 Active

About NPI 1912458407

Spirit Lake Tribe's National Provider Identifier is 1912458407, issued on Oct 19, 2016. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Totten, ND. The record was last updated on Oct 19, 2016.