# MISSOURI BASIN ANESTHESIA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952413585
- **Authorized official:** KAREN A HAGEL (ADMINISTRATOR)
- **Authorized official phone:** (701) 530-7564

## Contact information

- **Practice address:** 310 N 10TH ST, BISMARCK, ND 58501-4516
- **Practice address phone:** (701) 530-7500
- **Practice address fax:** (701) 530-7484
- **Mailing address:** 310 N 10TH ST, BISMARCK, ND 58501-4516
- **Mailing address phone:** (701) 530-7500
- **Mailing address fax:** (701) 530-7484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020