Healthcare Provider Details
I. General information
NPI: 1497615660
Provider Name (Legal Business Name): PNEUMOTRONIC PULMONARY PARTNERS, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/12/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3622 VALLEY DR
BISMARCK ND
58503-1722
US
IV. Provider business mailing address
3622 VALLEY DR
BISMARCK ND
58503-1722
US
V. Phone/Fax
- Phone: 786-451-7977
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALFREDO
IARDINO
Title or Position: CEO
Credential: MD
Phone: 786-451-7977