Healthcare Provider Details
I. General information
NPI: 1073566733
Provider Name (Legal Business Name): ARNOLD S DEVOUS MD, MPH, FACPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/17/2006
Last Update Date: 10/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1127 ALDERSON AVE
BILLINGS MT
59102-4200
US
IV. Provider business mailing address
1127 ALDERSON AVE
BILLINGS MT
59102-4200
US
V. Phone/Fax
- Phone: 406-247-7121
- Fax: 406-245-8872
- Phone: 406-247-7121
- Fax: 406-245-8872
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | C40851 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QA0401X |
| Taxonomy | Addiction Medicine (Family Medicine) Physician |
| License Number | 40851 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QA0401X |
| Taxonomy | Addiction Medicine (Family Medicine) Physician |
| License Number | 4771 |
| License Number State | MT |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083P0901X |
| Taxonomy | Public Health & General Preventive Medicine Physician |
| License Number | 4771 |
| License Number State | MT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: