Healthcare Provider Details

I. General information

NPI: 1184720948
Provider Name (Legal Business Name): D'ARCY ADAIRE HONEYCUTT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 E ROSSER AVE SUITE 303
BISMARCK ND
58501-4463
US

IV. Provider business mailing address

810 E ROSSER AVE SUITE 303
BISMARCK ND
58501-4463
US

V. Phone/Fax

Practice location:
  • Phone: 701-530-8450
  • Fax: 701-530-8457
Mailing address:
  • Phone: 701-530-8450
  • Fax: 701-530-8457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number7766
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: