Organization
AESTHETIC CENTER OF PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK L PAULSON M.D. (PHYSICIAN)
(701) 255-3311
Entity
Organization
Contact information
Practice address
115 W CENTURY AVE, SUITE B, BISMARCK, ND 58503-1403
(701) 255-3311
(701) 255-2255
Mailing address
115 W CENTURY AVE, SUITE B, BISMARCK, ND 58503-1403
(701) 255-3311
(701) 255-2255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BP4905482
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18831
—
ND
Enumeration date
09/25/2007
Last updated
10/04/2007
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