| Bitterroort Neurology | |
|
1019 W Main Hamilton MT 59840-4218 | |
| (406) 375-9310 | |
| (406) 375-9305 |
| Full Name | Bitterroort Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1019 W Main, Hamilton, Montana |
| Authorized Official Name and Position | Barbara Lynne Kieran (OFFICE MANAGER) |
| Authorized Official Contact | 4063759310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bitterroort Neurology Po Box 2218 1019 W Main Hamilton MT 59840-4218 Ph: (406) 375-9310 | Bitterroort Neurology 1019 W Main Hamilton MT 59840-4218 Ph: (406) 375-9310 |
| NPI Number | 1467635920 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 04/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467635920 | NPI | - | NPPES |
| 0064740 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 10272 (Montana) | Primary |
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