Healthcare Provider Details

I. General information

NPI: 1841223393
Provider Name (Legal Business Name): KRISTIN A SPANJIAN MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 N 30TH ST
BILLINGS MT
59101-0127
US

IV. Provider business mailing address

8600 ANGUS AVE
BILLINGS MT
59106-9605
US

V. Phone/Fax

Practice location:
  • Phone: 406-237-5862
  • Fax: 406-238-6068
Mailing address:
  • Phone: 406-237-5862
  • Fax: 406-238-6068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTIN A SPANJIAN
Title or Position: SOLE PROPRIETOR
Credential: MD
Phone: 406-237-5862