Healthcare Provider Details

I. General information

NPI: 1073760393
Provider Name (Legal Business Name): ROBERT DREWELOW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 09/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 HOSPITAL CIRCLE
BROWNING MT
59417
US

IV. Provider business mailing address

PO BOX 760
BROWNING MT
59417-0760
US

V. Phone/Fax

Practice location:
  • Phone: 406-338-6100
  • Fax: 406-338-2959
Mailing address:
  • Phone: 406-338-6100
  • Fax: 406-338-2959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number48200
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: