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NPI Code Detail

MEDICARE: DR. DENNIS OBRIEN MD

MEDICARE: DR. DENNIS OBRIEN MD
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
12084N0400XNeurology Physician36099965IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000098136OTHERMTBCBS PIN

General Provider Information

NPI Number : 1811981699
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENNIS OBRIEN MD
Provider Business Mailing Address
First Line : PO BOX 35100
Second Line :
City : BILLINGS
State : MT
Zip : 59107-5100
Country : US
Telephone Number : 406-238-2500
Fax Number :
Provider Business Practice Location Address
First Line : 801 N 29TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0905
Country : US
Telephone Number : 406-238-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 12/11/2014

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