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NPI Code Detail

MEDICARE: MR. ERIC RICHARD TITHER L.AC

MEDICARE: MR. ERIC RICHARD TITHER L.AC
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
1171100000XAcupuncturist177MT

General Provider Information

NPI Number : 1881035160
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ERIC RICHARD TITHER L.AC
Provider Business Mailing Address
First Line : 2210 HARRISON AVE
Second Line :
City : BUTTE
State : MT
Zip : 59701-6049
Country : US
Telephone Number : 406-491-4849
Fax Number : 406-723-3338
Provider Business Practice Location Address
First Line : 2210 HARRISON AVE
Second Line :
City : BUTTE
State : MT
Zip : 59701-6049
Country : US
Telephone Number : 406-491-4849
Fax Number : 406-723-3338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2013
Last Update Date : 07/15/2013

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