Healthcare Provider Details

I. General information

NPI: 1285603258
Provider Name (Legal Business Name): SCOTT S PIRANIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 06/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 GARNET WAY
WARM SPRINGS MT
59756
US

IV. Provider business mailing address

PO BOX 300
WARM SPRINGS MT
59756-0300
US

V. Phone/Fax

Practice location:
  • Phone: 406-693-7000
  • Fax:
Mailing address:
  • Phone: 406-693-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number11820
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD033964E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: