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General NPI Number Information
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NPI Number | 1093745572
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Entity Type | Individual
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Provider Name | DARRYL M ESPELAND DO
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 202 SOUTH 4TH STREET WEST
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City | BAKER
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State | MT
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Zip | 59313-1119
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Country | US
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Telephone | 406-778-2833
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Fax | 406-778-5131
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Provider Business Mailing Address
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Address Line | PO BOX 1119
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City | BAKER
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State | MT
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Zip | 59313-1119
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Country | US
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Telephone | 406-778-2833
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Fax | 406-778-5131
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 6291
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License Number State | MT
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