Individual
SCOTT JACOB HONKOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4012
(701) 780-2311
(701) 780-2599
Mailing address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-6000
(701) 780-5772
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R39013
ND
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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