| Children's Neurology Center Pc | |
|
2475 E Broadway St Helena MT 59601-4928 | |
| (406) 444-2288 | |
| (406) 444-2163 |
| Full Name | Children's Neurology Center Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 2475 E Broadway St, Helena, Montana |
| Authorized Official Name and Position | Donald James Wight (PHYSICAN/PRESIDENT) |
| Authorized Official Contact | 4064442288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Neurology Center Pc 2475 E Broadway St Helena MT 59601-4928 Ph: (406) 444-2288 | Children's Neurology Center Pc 2475 E Broadway St Helena MT 59601-4928 Ph: (406) 444-2288 |
| NPI Number | 1982863726 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982863726 | NPI | - | NPPES |
| 0093938 | Medicaid | MT | |
| 002981 | Other | MT | BLUE CROS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 6989 (Montana) | Primary |
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