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Contact Information

GORDON D STILLIE, DO
343 SUNNYVIEW LN
KALISPELL, MT59901-3156
 Phone: 406-752-1790
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for GORDON D STILLIE · (Male)

NPI Number 1316993082
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # 10467
  • MT Medicaid 141559
  • MT Other 99676 BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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