Healthcare Provider Details

I. General information

NPI: 1942260773
Provider Name (Legal Business Name): STEVEN RICHARD ECKLUND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 02/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W PENNSYLVANIA AVE
ANACONDA MT
59711-1900
US

IV. Provider business mailing address

401 W PENNSYLVANIA AVE
ANACONDA MT
59711-1999
US

V. Phone/Fax

Practice location:
  • Phone: 406-563-8686
  • Fax: 406-563-8691
Mailing address:
  • Phone: 406-563-8500
  • Fax: 406-563-8694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number8582
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: