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NPI Code Detail

MEDICARE: FRONTIER PSYCHIATRY, PLLC

MEDICARE: FRONTIER PSYCHIATRY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1508493156
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRONTIER PSYCHIATRY, PLLC
Provider Business Mailing Address
First Line : 1601 LEWIS AVE STE 102
Second Line :
City : BILLINGS
State : MT
Zip : 59102-4182
Country : US
Telephone Number : 406-200-8471
Fax Number : 833-465-3766
Provider Business Practice Location Address
First Line : 1601 LEWIS AVE STE 102
Second Line :
City : BILLINGS
State : MT
Zip : 59102-4182
Country : US
Telephone Number : 406-284-8814
Fax Number :
Authorized Official
Title or Position : COO
Name : REZA HOSSEINI GHOMI
Credential : MD
Telephone Number : 406-200-8471
Provider Enumeration Date : 03/24/2020
Last Update Date : 03/29/2024

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