Divide Creek Pc is a Otolaryngology in Butte, Montana. Divide Creek Pc practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Divide Creek Pc is 1689884769. The last update date is 2009-07-22.
Divide Creek Pc's current location address is 202 S Montana St, Butte, Montana. You can contact this provider via phone number 4067236526 and fax number 4067829712. The mailing address for Divide Creek Pc is 202 S Montana St, Butte, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divide Creek Pc |
|---|---|
| Address | 202 S Montana St, Butte, Montana |
| Phone Number | 4067236526 |
| Fax Number | 4067829712 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Rogers Lawerance Neal |
| Credentials | MD |
| Telephone Number | 4067236526 |
NPI Number Detail
| NPI Number | 1689884769 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2009-07-22 |
Provider Mailing Address Detail
| Address | 202 S Montana St |
|---|---|
| City | Butte |
| State | Montana (MT) |
| Post Code | 597011646 |
| Phone Number | 4067236526 |
| Fax Number | 4067829712 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 4335 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13210 | MT | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Divide Creek Pc's unique identification number?
The Divide Creek Pc has been assigned the NPI (National Provider Identifier) Number 1689884769 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Divide Creek Pc is physically located?
The Divide Creek Pc is situated at the following address: 202 S Montana St, Butte, MT 597011646.
What is Divide Creek Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Divide Creek Pc is Otolaryngology, and the taxonomy classification code that categorizes this area of expertise is 207Y00000X.
On what date was the 1689884769 assigned to Divide Creek Pc?
The Divide Creek Pc was issued its 1689884769 on 2007-05-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Divide Creek Pc last refreshed?
The information related to the Divide Creek Pc, including its address, specialty, and other relevant details, was last updated on 2009-07-22.
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