Healthcare Provider Details

I. General information

NPI: 1649244369
Provider Name (Legal Business Name): ANTHONY J NAVONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 06/22/2021
Certification Date: 06/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 WESTWOOD DR
HAMILTON MT
59840-2345
US

IV. Provider business mailing address

500 W BROADWAY ST
MISSOULA MT
59802-4008
US

V. Phone/Fax

Practice location:
  • Phone: 406-375-4665
  • Fax: 406-375-4439
Mailing address:
  • Phone: 406-329-4142
  • Fax: 406-549-2246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number190945
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number40760
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: