Individual
DIOSDADO T JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 N 7TH ST, BISMARCK, ND 58501-4439
(701) 323-6000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 333-1000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12439
ND
207L00000X
Anesthesiology Physician
2004012111
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17268
—
ND
05
—
206215808
—
MO
Enumeration date
06/03/2007
Last updated
05/28/2014
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