Healthcare Provider Details

I. General information

NPI: 1982686176
Provider Name (Legal Business Name): GEORGE C MULCAIRE-JONES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 02/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 S CRYSTAL ST STE 300
BUTTE MT
59701-1506
US

IV. Provider business mailing address

435 S CRYSTAL ST STE 300
BUTTE MT
59701-1506
US

V. Phone/Fax

Practice location:
  • Phone: 406-496-3600
  • Fax: 406-496-3672
Mailing address:
  • Phone: 406-496-3600
  • Fax: 406-496-3672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number6934
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number6934
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: