Individual
GLORIA E MARAGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 BURDICK EXPY W, MINOT, ND 58701-4406
(701) 857-5124
(701) 857-3264
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 857-5650
(701) 857-5031
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R10805
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12676
—
ND
Enumeration date
10/10/2006
Last updated
07/08/2007
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