Organization
BECKER PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA HOPFAUF (OFFICE MANAGER)
(701) 530-3333
Entity
Organization
Contact information
Practice address
1500 INTERCHANGE AVE, STE 100, BISMARCK, ND 58501
(701) 530-3011
Mailing address
1500 INTERCHANGE AVE, STE 100, BISMARCK, ND 58501-2079
(701) 530-3333
(701) 530-3009
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463026
—
ND
Enumeration date
04/23/2007
Last updated
08/01/2018
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