Organization
BECKER PLASTIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY C. BECKER MD (OWNER)
(701) 530-3333
Entity
Organization
Contact information
Practice address
1500 INTERCHANGE AVE STE 100, BISMARCK, ND 58501
(701) 530-3333
Mailing address
1500 INTERCHANGE AVE STE 100, BISMARCK, ND 58501-2084
(701) 530-3333
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473685
—
ND
Enumeration date
08/13/2008
Last updated
07/16/2018
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