Individual provider · NPI-1

Disa L.G. Awah, DO

Internal Medicine · Minot, ND

NPI number1174838650
StatusActive
Last updated in NPPESFeb 25, 2015

Details

NPI
1174838650
Entity type
Individual (NPI-1)
Name
Disa L.G. Awah
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Aug 9, 2010
Last updated
Feb 25, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine13345NDYes

Other names

  • Disa L Grant (Former Name)

Practice location

400 Burdick Expy E
Minot, ND 58701-4768

Phone 701-857-7969 · Fax 701-857-7957

Mailing address

Po Box 5010
Minot, ND 58702-5010

Phone 701-857-5650 · Fax 701-854-5031

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