NPI 1114129103 · live from the CMS NPI Registry
Diosdado T Jaramillo
Anesthesiology in Bismarck, ND. National Provider Identifier 1114129103, active.
NPI record
| NPI | 1114129103 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 300 N 7th St, Bismarck, ND 58501 |
| Practice phone | 701-323-6000 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | June 3, 2007 |
| Last updated | May 28, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | 2004012111 (MO) |
| Anesthesiology primary | 207L00000X | 12439 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.