Healthcare Provider Details

I. General information

NPI: 1316932940
Provider Name (Legal Business Name): TERRY DON REIFF D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W FIRST ST
WHITEHALL MT
59759-0339
US

IV. Provider business mailing address

PO BOX 339
WHITEHALL MT
59759-0339
US

V. Phone/Fax

Practice location:
  • Phone: 406-287-3003
  • Fax: 406-287-3014
Mailing address:
  • Phone: 406-287-3003
  • Fax: 406-287-3014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5194
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: