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NPI Code Detail

MEDICARE: SCOTT BRADLEY ATHAS

MEDICARE: SCOTT BRADLEY ATHAS
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
1183500000XPharmacist39437MT

General Provider Information

NPI Number : 1700344025
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT BRADLEY ATHAS
Provider Business Mailing Address
First Line : 1649 MAIN ST
Second Line :
City : BILLINGS
State : MT
Zip : 59105-4043
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1649 MAIN ST
Second Line :
City : BILLINGS
State : MT
Zip : 59105-4043
Country : US
Telephone Number : 406-939-1336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2019
Last Update Date : 03/05/2019

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Directions to “ SCOTT BRADLEY ATHAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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