Healthcare Provider Details
I. General information
NPI: 1609945104
Provider Name (Legal Business Name): ARTHRITIS AND OSTEOPOROSIS CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/07/2006
Last Update Date: 08/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
708 BROADWATER AVE
BILLINGS MT
59101-2710
US
IV. Provider business mailing address
708 BROADWATER AVE
BILLINGS MT
59101-2710
US
V. Phone/Fax
- Phone: 406-839-2900
- Fax: 406-839-2910
- Phone: 406-839-2900
- Fax: 406-839-2910
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DOUGLAS
W.
ROANE
Title or Position: VICE PRESIDENT
Credential: MD
Phone: 406-839-2900