Individual
AUDREY L BERCIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1 HOSPITAL RD, BELCOURT, ND 58316-0160
(701) 477-6111
(701) 477-8401
Mailing address
1 HOSPITAL RD, BELCOURT, ND 58316-0160
(701) 477-6111
(701) 477-8401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PACO367
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PACO367
STATE LICENSE
ND
Enumeration date
07/13/2007
Last updated
07/13/2007
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