Organization
RED RIVER LOCUMS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J SPLICHAL CRNA (SECRETARY / TREASURER)
(574) 268-9640
Entity
Organization
Contact information
Practice address
1507 UNIVERSITY DR S, FARGO, ND 58103-4169
(701) 237-9592
(701) 298-3883
Mailing address
PO BOX 1296, WARSAW, IN 46581-1296
(574) 268-9640
(574) 068-0684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R16475
ND
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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