Healthcare Provider Details
I. General information
NPI: 1689702995
Provider Name (Legal Business Name): PATRICK J MCGREE MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1101 S MONTANA ST
BUTTE MT
59701-2857
US
IV. Provider business mailing address
1101 S MONTANA ST
BUTTE MT
59701-2857
US
V. Phone/Fax
- Phone: 406-782-2239
- Fax: 406-782-4634
- Phone: 406-782-2239
- Fax: 406-782-4634
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | 5210 |
| License Number State | MT |
VIII. Authorized Official
Name:
PATRICK
JOSEPH
MCGREE
Title or Position: MD
Credential: MD
Phone: 406-782-2239