Beau Monte Billadeau
Anesthesiology in Fargo, ND. Individual provider (NPI-1).
NPI number1982167524
StatusActive
Last updated in NPPESAug 23, 2023
Details
- NPI
- 1982167524
- Entity type
- Individual (NPI-1)
- Name
- Beau Monte Billadeau
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2019
- Certification date
- Aug 23, 2023
- Last updated
- Aug 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 19876 | ND | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5225 23rd Ave SFargo, ND 58104-7927
Phone 701-417-2575
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
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