Healthcare Provider Details

I. General information

NPI: 1992496921
Provider Name (Legal Business Name): DAVID VOOG TOBIN NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 E 7TH ST STE 2CA
ANACONDA MT
59711-2948
US

IV. Provider business mailing address

118 E 7TH ST STE 2CA
ANACONDA MT
59711-2948
US

V. Phone/Fax

Practice location:
  • Phone: 406-209-9852
  • Fax: 406-747-2352
Mailing address:
  • Phone: 406-209-9852
  • Fax: 406-747-2352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704318692
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: