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NPI Code Detail

MEDICARE: DEBORAH D DOVER MD

MEDICARE: DEBORAH D DOVER 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 Physician10572MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972504850
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH D DOVER MD
Provider Business Mailing Address
First Line : 1401 25TH ST S
Second Line :
City : GREAT FALLS
State : MT
Zip : 59405-5183
Country : US
Telephone Number : 406-731-8888
Fax Number : 406-731-8876
Provider Business Practice Location Address
First Line : 1401 25TH ST S
Second Line :
City : GREAT FALLS
State : MT
Zip : 59405-5183
Country : US
Telephone Number : 406-731-8888
Fax Number : 406-731-8876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 08/30/2012

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Directions to “ DEBORAH D DOVER MD” Practice Location

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