Becker Plastic Surgery LLC
Clinic/Center in Bismarck, ND. Organization (NPI-2).
NPI number1619195807
StatusActive
Last updated in NPPESAug 1, 2018
Details
- NPI
- 1619195807
- Entity type
- Organization (NPI-2)
- Legal business name
- Becker Plastic Surgery LLC
- Organization subpart
- No
- Enumeration date
- Apr 23, 2007
- Last updated
- Aug 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1500 Interchange AveSte 100
Bismarck, ND 58501
Phone 701-530-3011
Mailing address
1500 Interchange AveSte 100
Bismarck, ND 58501-2079
Phone 701-530-3333 · Fax 701-530-3009
Authorized official
Tanya Hopfauf
Office Manager
7015303333
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