Healthcare Provider Details

I. General information

NPI: 1720275647
Provider Name (Legal Business Name): PIETRO N JAMES MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 04/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 MEDICAL PARK DR
HELENA MT
59601-8048
US

IV. Provider business mailing address

PO BOX 5179
HELENA MT
59604-5179
US

V. Phone/Fax

Practice location:
  • Phone: 406-495-7270
  • Fax: 406-443-4526
Mailing address:
  • Phone: 406-495-7260
  • Fax: 406-443-4526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number4379
License Number StateMT

VIII. Authorized Official

Name: DR. PIETRO N JAMES
Title or Position: ANESTHESIOLOGIST
Credential: M.D.
Phone: 406-495-7260