| Becker Plastic Surgery Llc | |
|
1500 Interchange Ave Ste 100 Bismarck ND 58501 | |
| (701) 530-3011 | |
| Not Available |
| Full Name | Becker Plastic Surgery Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1500 Interchange Ave, Bismarck, North Dakota |
| Authorized Official Name and Position | Tanya Hopfauf (OFFICE MANAGER) |
| Authorized Official Contact | 7015303333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Becker Plastic Surgery Llc 1500 Interchange Ave Ste 100 Bismarck ND 58501-2079 Ph: (701) 530-3333 | Becker Plastic Surgery Llc 1500 Interchange Ave Ste 100 Bismarck ND 58501 Ph: (701) 530-3011 |
| NPI Number | 1619195807 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619195807 | NPI | - | NPPES |
| 1463026 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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