Organization
MISSOURI BASIN ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN A HAGEL (ADMINISTRATOR)
(701) 530-7564
Entity
Organization
Contact information
Practice address
310 N 10TH ST, BISMARCK, ND 58501-4516
(701) 530-7500
(701) 530-7484
Mailing address
310 N 10TH ST, BISMARCK, ND 58501-4516
(701) 530-7500
(701) 530-7484
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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