Bismarck Surgical Associates LLC
Nurse Anesthetist, Certified Registered in Bismarck, ND. Organization (NPI-2).
NPI number1487814356
StatusActive
Last updated in NPPESOct 24, 2019
Details
- NPI
- 1487814356
- Entity type
- Organization (NPI-2)
- Legal business name
- Bismarck Surgical Associates LLC
- Organization subpart
- No
- Enumeration date
- Jun 13, 2008
- Last updated
- Oct 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R28938 | ND | Yes |
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | ND |
Practice location
106 E Greenfield LnBismarck, ND 58503-6578
Phone 701-221-2299 · Fax 701-355-4331
Mailing address
106 E Greenfield LnBismarck, ND 58503-6578
Phone 701-221-2299 · Fax 701-323-3338
Authorized official
Attas Boutrous
Administrator
7012212299
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