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2019 Broadwater Ave Billings MT 59102-4810 | |
| (406) 237-5200 | |
| (406) 237-5205 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 2019 Broadwater Ave, Billings, Montana |
| Authorized Official Name and Position | Jason L Barker (PRESIDENT/CEO) |
| Authorized Official Contact | 4062373071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2019 Broadwater Ave Billings MT 59102-4810 Ph: (406) 237-5200 | 2019 Broadwater Ave Billings MT 59102-4810 Ph: (406) 237-5200 |
| NPI Number | 1023397692 |
|---|---|
| Provider Enumeration Date | 08/12/2011 |
| Last Update Date | 11/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023397692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 12129 (Montana) | Primary |
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