Stacey Lee Konzak, PA C
NPI #1962486969 in Bismarck, North Dakota
Provider Information
- NPI Number
- 1962486969
- Entity Type
- Individual
- Name
- Stacey Lee Konzak, PA C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA C
- Enumeration Date
- Dec 2, 2005
- Last Updated
- Sep 18, 2014
Practice Location
- Address
- 2900 E BROADWAY AVE
- City
- Bismarck
- State
- North Dakota
- ZIP Code
- 58501-5112
- Phone
- (701) 221-9997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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