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NPI Profile for PROVIDENCE HEALTH SERVICES MT in THOMPSON FALLS, MT.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Interventional Cardiology |
207RI0011X | 11 | Physician/Internal Medicine | |
Pulmonary Disease |
207RP1001X | 11 | Physician/Internal Medicine |
| NPI # | 1477710945 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/21/2008 | |
| Last updated | 05/05/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PROVIDENCE HEALTH & SERVICES MT
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PROVIDENCE HEALTH & SERVICES MT