Healthcare Provider Details

I. General information

NPI: 1255362992
Provider Name (Legal Business Name): DOUGLAS A. NEUHOFF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 05/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 ZIMMERMAN TRL
BILLINGS MT
59102-7652
US

IV. Provider business mailing address

1611 ZIMMERMAN TRL
BILLINGS MT
59102-7652
US

V. Phone/Fax

Practice location:
  • Phone: 406-248-3607
  • Fax: 406-248-8919
Mailing address:
  • Phone: 406-248-3607
  • Fax: 406-248-8919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number6247
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: