Healthcare Provider Details

I. General information

NPI: 1245120781
Provider Name (Legal Business Name): A.M. SMITH L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 PINECREST DR
HELENA MT
59602-6472
US

IV. Provider business mailing address

3425 PINECREST DR
HELENA MT
59602-6472
US

V. Phone/Fax

Practice location:
  • Phone: 406-390-1142
  • Fax:
Mailing address:
  • Phone: 406-390-1142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: AARON M SMITH
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 406-390-1142